| NPI | 1770739419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S FARRELL President 314-251-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO r5636) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2009-05-27 |