| NPI | 1891236360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER V. P. Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2021-12-06 |