| NPI | 1801503339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EAGLETON Senior VP 314-323-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-10-10 |