| NPI | 1992870737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELANI L MANN-JOHNSON President 314-361-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2001013800) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |