| NPI | 1760626147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY HINTON President 314-369-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2006003131) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006003131) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |