| Mercy Clinic South Physicians | |
|
714 Gravois Rd Ste 210 Fenton MO 63026-7723 | |
| (314) 543-5230 | |
| (636) 717-6730 |
| Full Name | Mercy Clinic South Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 714 Gravois Rd, Fenton, 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 714 Gravois Rd Ste 210 Fenton MO 63026-7723 Ph: (314) 543-5230 | Mercy Clinic South Physicians 714 Gravois Rd Ste 210 Fenton MO 63026-7723 Ph: (314) 543-5230 |
| NPI Number | 1467648634 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467648634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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