Legacy Medical Services LLC

NPI #1275138851 in Fenton, Missouri

Provider Information

NPI Number
1275138851
Entity Type
Organization
Organization Name
Legacy Medical Services LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Dec 2, 2020
Last Updated
Dec 2, 2020

Practice Location

Address
757 RUDDER RD
City
Fenton
ZIP Code
63026-2014
Phone
(314) 703-5618

Authorized Official

Name
CRAIG KISER
Title
OWNER
Phone
(314) 703-5618

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology
Clinic/Center - Health ServiceHealth Service

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