| NPI | 1689088080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA PAVLOPOULOS Member 314-924-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 106145) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-03-23 |