| NPI | 1700807716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARSHALL CEO 618-391-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207T00000X Neurological Surgery | |
| 208600000X Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2025-08-13 |