| NPI | 1841475746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C NORMAN Md/Owner 618-257-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2024-06-24 |