| NPI | 1790441046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER V.P. Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-07-17 |