| NPI | 1730190018 |
|---|---|
| Doing Business As | DBA ELDERMED SERVICES |
| Entity Type | Organization |
| Authorized Contact | JERRIE K WEITH Business Advisor 618-779-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |