| |
3193 Lemay Ferry Rd., Saint Louis, MO 63125 | |
(314) 620-8091 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Psychiatry & Neurology - Neurology |
Location | 3193 Lemay Ferry Rd., Saint Louis, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1942661814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CE005517 (Missouri) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (Missouri) | Primary |
Mailing Address | Practice Location Address |
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4950 Chapel Hill Rd., Saint Louis, MO 63128 Ph: () - | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 Ph: (314) 620-8091 |