| NPI | 1770544066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARY MOORE Practice Manager 314-567-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2024-06-26 |