NPI | 1982760930 |
---|---|
Doing Business As | ALTON INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-12-27 |
Last Update Date | 2008-01-04 |