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Physicians Internal Medicine Rheumatology

Provider NPI: 1861418188

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 314-286-2635  Fax: 314-286-2338

Business Mailing Address:
660 S EUCLID AVE C B 8045 SAINT LOUIS, MO 63110-1010 US
Tel: 314-286-2635  Fax: 314-286-2338

NPI Information:
NPI: 1861418188
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RR0500X





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