| NPI | 1750566055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A PANIAGUA Owner 314-741-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R4B44) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |