| NPI | 1861464851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALTSHELER Owner 314-739-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO R7222) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-10-25 |