St Louis University

NPI #1013980366 in St Louis, Missouri

Provider Information

NPI Number: 1013980366
Entity Type: Organization
Organization Name: St Louis University
Primary Specialty: Internal Medicine
Enumeration Date: Feb 8, 2006
Last Updated: Sep 21, 2021

Practice Location

Address: 1225 SOUTH GRAND
Address 2: 2L, DOOR 3,4
City: St Louis
State: Missouri
ZIP Code: 63104
Phone: (314) 977-6164

Authorized Official

Name: MRS. ALYCE LANXON
Title: EXECUTIVE DIRECTOR
Phone: (314) 977-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Nuclear Radiology — Nuclear Radiology	2085N0904X
Internal Medicine	207R00000X	Primary

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