| NPI | 1992057566 |
|---|---|
| Doing Business As | MOBILE DOCTORS OF ST. LOUIS |
| Entity Type | Organization |
| Authorized Contact | TYSYN CONTRERAS Director Of Quality Assurance 773-751-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 213E00000X Podiatrist | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |