Meramec Valley Obgyn INC

NPI #1437372364 in Fenton, Missouri

Provider Information

NPI Number
1437372364
Entity Type
Organization
Organization Name
Meramec Valley Obgyn INC
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Apr 10, 2007
Last Updated
Feb 26, 2008

Practice Location

Address
408 GRAVOIS RD
City
Fenton
ZIP Code
63026
Phone
(636) 343-1144

Authorized Official

Name
DR. JACK E RICKETTS, MD
Title
OWNER PRESIDENT
Phone
(636) 343-1144

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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