| NPI | 1902583909 |
|---|---|
| Doing Business As | AST PRIMARY CARE MT VERNON |
| Entity Type | Organization |
| Authorized Contact | JENNIA RENSING Office Manager 618-899-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |