| NPI | 1992816391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN R. HASKELL Chief Medical Officer 314-205-6444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 108578) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-12-12 |