| NPI | 1750497319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L NELSON Executive Vice President/CFO 618-463-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208600000X Surgery | |
| 363AM0700X Physician Assistant, Medical | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-12-23 |