Missouri Baptist Hospital of Sullivan
NPI #1790953909 in Saint Clair, Missouri
Provider Information
- NPI Number
- 1790953909
- Entity Type
- Organization
- Organization Name
- Missouri Baptist Hospital of Sullivan
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 11, 2008
- Last Updated
- Feb 11, 2008
Practice Location
- Address
- 875 N COMMERCIAL AVE
- City
- Saint Clair
- State
- Missouri
- ZIP Code
- 63077-1118
- Phone
- (636) 629-7467
Authorized Official
- Name
- RAYMOND P. DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Family Medicine |
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