| NPI | 1992934012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOREY GARDNER Program Director Internal Medicine 314-768-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009006291) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |