| NPI | 1790978757 |
|---|---|
| Doing Business As | DIGESTIVE DISORDERS CENTER O'FALLON |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-01-04 |