| NPI | 1932156726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J RILEY Practice Manager 314-965-6411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2002002867) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R1C00) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 103666) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R7758) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO R6F58) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2017-11-14 |