| Maranatha Healthcare Pc | |
|
9231 W Florissant Ave Saint Louis MO 63136-1422 | |
| (314) 522-1888 | |
| (314) 522-9674 |
| Full Name | Maranatha Healthcare Pc |
|---|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 9231 W Florissant Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Adeluola G Lipede (PRESIDENT) |
| Authorized Official Contact | 3145221888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maranatha Healthcare Pc Po Box 3980 Chesterfield MO 63006-3980 Ph: (314) 522-1888 | Maranatha Healthcare Pc 9231 W Florissant Ave Saint Louis MO 63136-1422 Ph: (314) 522-1888 |
| NPI Number | 1679896716 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679896716 | NPI | - | NPPES |
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