Physician Groups Lc Valid NPI
Organization · Internal Medicine Physician · O Fallon, MO
- NPI
- 1215068655
- Type
- Organization (Type 2)
- Primary specialty
- Internal Medicine Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207R00000X
- Enumerated
- 2007-03-08
- Last updated
- 2008-04-02
Practice location
2 Progress Point Ct, Suite 101e
O Fallon, MO 63368-2208
(636) 344-2400