NPI | 1841565835 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN W. HUBERT President 314-251-1560 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207R00000X Internal Medicine | |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2012-03-09 |
Last Update Date | 2012-03-09 |