| 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 |