| NPI | 1720348600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAM HEIDBRIER President 314-781-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 36756) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2022-10-06 |