| NPI | 1750351581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BARTO VATTEROTT Owner 636-561-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 207R0000X) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-09-28 |