| NPI | 1992816391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SNIDER VP Physician Network 636-685-7804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 108578) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-04-06 |