| Advanced Cardiovascular Center Llc | |
|
2335 Dougherty Ferry Rd Suite A Saint Louis MO 63122-3313 | |
| (314) 774-7235 | |
| Not Available |
| Full Name | Advanced Cardiovascular Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2335 Dougherty Ferry Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Gus Assi (ADMINISTRATOR) |
| Authorized Official Contact | 3147747235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Cardiovascular Center Llc 12430 Tesson Ferry Rd #117 Saint Louis MO 63128-2702 Ph: (314) 774-7235 | Advanced Cardiovascular Center Llc 2335 Dougherty Ferry Rd Suite A Saint Louis MO 63122-3313 Ph: (314) 774-7235 |
| NPI Number | 1538586037 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 03/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LC1326878 (Missouri) | Primary |
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