| NPI | 1760873616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B. DAVIS Executive Director 618-257-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-17 |