St Anthony's Physician Organization Private Practices Lc
NPI #1134316185 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1134316185
- Entity Type
- Organization
- Organization Name
- St Anthony's Physician Organization Private Practices Lc
- Primary Specialty
- Surgery
- Enumeration Date
- Oct 3, 2007
- Last Updated
- Aug 4, 2010
Practice Location
- Address
- 10004 KENNERLY RD
- Address 2
- STE 268B
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63128-2141
- Phone
- (314) 543-5290
Authorized Official
- Name
- DAVE HINKLE
- Title
- EECUTIVE DIRECTOR
- Phone
- (314) 543-5903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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