Renewed Health 180 LP
NPI #1164174439 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1164174439
- Entity Type
- Organization
- Organization Name
- Renewed Health 180 LP
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 19, 2022
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 456 N NEW BALLAS RD STE 101A
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6831
- Phone
- (314) 866-9940
Authorized Official
- Name
- CHANDRACHUR BANERJEE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (314) 866-9940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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