St Louis Sinus & Sleep Centers, LLC

NPI #1629414644 in Waterloo, Illinois

Provider Information

NPI Number
1629414644
Entity Type
Organization
Organization Name
St Louis Sinus & Sleep Centers, LLC
Primary Specialty
Clinic/Center - Sleep Disorder Diagnostic
Enumeration Date
May 16, 2013
Last Updated
May 16, 2013

Practice Location

Address
509 HAMACHER ST
Address 2
SUITE 205
ZIP Code
62298-1592
Phone
(618) 939-4368

Authorized Official

Name
KETAN A SHAH, M.D.
Title
OWNER
Phone
(618) 939-4368

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Sleep Disorder DiagnosticSleep Disorder Diagnostic

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