NPI | 1922585389 |
---|---|
Doing Business As | METRO MEDICAL CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | JAWED H SIDDIQUI Medical Doctor 314-921-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MO R6047) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO R6047) |
Enumeration Date | 2018-07-27 |
Last Update Date | 2018-10-20 |