in Saint Louis - Clinic/center

- NPI 1255541777

is a Clinic/center in Saint Louis, Missouri. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for is 1255541777. The last update date is .

's current location address is Po Box 503773, Saint Louis, Missouri. You can contact this provider via phone number 6154677871. The mailing address for is Po Box 503773, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 503773, Saint Louis, Missouri
Phone Number 6154677871
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1255541777
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 503773
City Saint Louis
State Missouri (MO)
Post Code 631500001
Phone Number 6154677871
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 291501
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1007550910012 PA --

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