| Mercy Clinic South Physicians | |
|
215 Thresher Dr Eureka MO 63025-1923 | |
| (314) 543-5968 | |
| (314) 543-5918 |
| Full Name | Mercy Clinic South Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Thresher Dr, Eureka, Missouri |
| Authorized Official Name and Position | Cheryl Matejka (CFO EAST COMMUNITIES & SFO) |
| Authorized Official Contact | 3142511958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic South Physicians 9735 Landmark Parkway Dr Ste 200 Saint Louis MO 63127-1646 Ph: (314) 543-6985 | Mercy Clinic South Physicians 215 Thresher Dr Eureka MO 63025-1923 Ph: (314) 543-5968 |
| NPI Number | 1225425630 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225425630 | NPI | - | NPPES |
| 000015644 | Other | MO | MEDICARE GROUP PTAN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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