St. Anthony's Physician Organization Private Practices Lc

NPI #1114113388 in Saint Louis, Missouri

Provider Information

NPI Number: 1114113388
Entity Type: Organization
Organization Name: St. Anthony's Physician Organization Private Practices Lc
Subpart: Yes (part of a larger organization)
Parent Organization: ST. ANTHONY'S PHYSICIAN ORGANIZATION
Primary Specialty: Surgery
Enumeration Date: Sep 20, 2007
Last Updated: Aug 3, 2010

Practice Location

Address: 10004 KENNERLY RD
Address 2: STE 292B
City: Saint Louis
State: Missouri
ZIP Code: 63128-2141
Phone: (314) 525-1224

Authorized Official

Name: DAVE HINKLE
Title: EXECUTIVE DIRECTOR
Phone: (314) 543-5903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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