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 | |
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Address | Po Box 503773, Saint Louis, Missouri |
Phone Number | 6154677871 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1255541777 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 503773 |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631500001 |
Phone Number | 6154677871 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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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 |
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1007550910012 | PA | -- |
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