NPI | 1992378384 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES SNIDER V.P. Physician Network 636-685-7804 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
Enumeration Date | 2021-07-22 |
Last Update Date | 2022-02-04 |