| NPI | 1922715408 |
|---|---|
| Doing Business As | DEACONESS IL SPECIALTY SPRING ST MULTISPECIALTY |
| Doing Business As | ST. LOUIS CARDIOVASCULAR |
| Entity Type | Organization |
| Authorized Contact | KYLE DILLMAN Secretary Treasurer 812-450-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-06-29 |