| NPI | 1821001918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY BARTLETT President 636-577-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 104933) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 33327) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-04-29 |