is a Diagnostic Radiology in St Louis, Missouri. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1811008444. The last update date is .
's current location address is 3015 N New Ballas Rd, St Louis, Missouri. You can contact this provider via phone number 3149965180 and fax number 3148212180. The mailing address for is 3015 N New Ballas Rd, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 3015 N New Ballas Rd, St Louis, Missouri |
Phone Number | 3149965180 |
Fax Number | 3148212180 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1811008444 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 3015 N New Ballas Rd |
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City | St Louis |
State | Missouri (MO) |
Post Code | 63131 |
Phone Number | 3149965180 |
Fax Number | 3148212180 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | R4J87 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2781 | GHP | ||
1600240 | PH PLAN | ||
4871 | HCARE USA | ||
E40645 | GATE WAY | ||
1390 | MO BLUE | ||
300065 | HLT PART | ||
4013128 | MO CARE | ||
203086707 | MO CAID | ||
24363 | BLUE CHOICE | ||
138494 | H LINK |
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