| NPI | 1952312951 |
|---|---|
| Doing Business As | DEPAUL MEDICAL GROUP AT CROSS KEYS |
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN PULLUM Director Of Patient Accounts 636-669-2434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-11-18 |