Advantica Administrative Services, Inc.
NPI #1225458953 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1225458953
- Entity Type
- Organization
- Organization Name
- Advantica Administrative Services, Inc.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Apr 21, 2014
- Last Updated
- Apr 22, 2014
Practice Location
- Address
- 12399 GRAVOIS RD
- Address 2
- 2ND FLOOR
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63127-1750
- Phone
- (314) 543-4900
Authorized Official
- Name
- MS. BARBARA C. BENTRUP
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (314) 656-2720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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