| 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 |