Great Circle | |
330 N Gore Ave Saint Louis MO 63119-1600 | |
(314) 968-2060 | |
(314) 968-8308 |
Full Name | Great Circle |
---|---|
Speciality | Counselor - School |
Location | 330 N Gore Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Dawn Renee Kliethermes (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5733037219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Circle Po Box 189 Saint James MO 65559-0189 Ph: (573) 265-3251 | Great Circle 330 N Gore Ave Saint Louis MO 63119-1600 Ph: (314) 968-2060 |
NPI Number | 1730659376 |
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Provider Enumeration Date | 11/27/2018 |
Last Update Date | 12/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730659376 | NPI | - | NPPES |
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