| NPI | 1932176401 |
|---|---|
| Former Legal Business Name | ST. JOHN'S MERCY HEART AND VASCULAR LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN W. HUBERT President 314-251-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2014-05-02 |