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615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | John W. Hubert (PRESIDENT) |
| Authorized Official Contact | 3142511700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 | 615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 |
| NPI Number | 1073739041 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073739041 | NPI | - | NPPES |
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