| NPI | 1922879063 |
|---|---|
| Former Legal Business Name | DOVER HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | STEVEN BURGHART President 314-451-5606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |