Mid County Ob Gyn Group, INC
NPI #1265508600 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1265508600
- Entity Type
- Organization
- Organization Name
- Mid County Ob Gyn Group, INC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Aug 18, 2008
Practice Location
- Address
- 11652 STUDT AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-7025
- Phone
- (314) 395-3163
Authorized Official
- Name
- DR. IVAN TALLEY MYERS, MD
- Title
- MD PHYSICIAN
- Phone
- (314) 395-3163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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