| NPI | 1770925760 |
|---|---|
| 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 | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |