| NPI | 1700246675 |
|---|---|
| Doing Business As | MEDI WEIGHTLOSS |
| Entity Type | Organization |
| Authorized Contact | ROY E GALAN Owner 618-713-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |