Ossp Imaging of St. Louis
NPI #1417534918 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1417534918
- Entity Type
- Organization
- Organization Name
- Ossp Imaging of St. Louis
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORTHO SPORT AND SPINE PHYSICIANS DAWSONVILLE
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Mar 29, 2021
- Last Updated
- Mar 29, 2021
Practice Location
- Address
- 12401 OLIVE BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63141-5443
- Phone
- (314) 390-0135
Authorized Official
- Name
- RA'KESHIA BROGDON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (404) 941-1233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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