| NPI | 1871762385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P. POETZ Owner 314-291-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 29351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 152467) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-05-22 |