Farmington Clinic Company LLC

NPI #1427244482 in St. Louis, Missouri

Provider Information

NPI Number: 1427244482
Entity Type: Organization
Organization Name: Farmington Clinic Company LLC
Subpart: Yes (part of a larger organization)
Parent Organization: FARMINGTON CLINIC COMPANY LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 24, 2007
Last Updated: Dec 28, 2009

Practice Location

Address: POST OFFICE BOX 504354
Address 2: ST. LOUIS
City: St. Louis
State: Missouri
ZIP Code: 63150-0001
Phone: (573) 756-2600

Authorized Official

Name: JEAN M CALLAHAN
Title: PROVIDER ENROLLMENT
Phone: (573) 701-7346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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