St. Anthony's Physician Organization

NPI #1467648634 in Fenton, Missouri

Provider Information

NPI Number: 1467648634
Entity Type: Organization
Organization Name: St. Anthony's Physician Organization
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2007
Last Updated: Jan 4, 2019

Practice Location

Address: 714 GRAVOIS RD
Address 2: STE 210
City: Fenton
State: Missouri
ZIP Code: 63026-7723
Phone: (314) 543-5230

Authorized Official

Name: MS. CHERYL MATEJKA
Title: CFO EAST COMMUNITIES & SFO
Phone: (314) 251-1958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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