| NPI | 1912706615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANTZ FILS SAINT LOUIS Owner 347-419-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |