Wusm Bjc Aco Providers
NPI #1003233230 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1003233230
- Entity Type
- Organization
- Organization Name
- Wusm Bjc Aco Providers
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 26, 2014
- Last Updated
- Mar 26, 2014
Practice Location
- Address
- 660 S EUCLID AVE
- Address 2
- CAMPUS BOX 8081
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63110-1010
- Phone
- (314) 273-0770
Authorized Official
- Name
- MS. CATHY EGHIGIAN
- Title
- DIRECTOR, CREDENTIALING OPERATIONS
- Phone
- (314) 273-0770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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