Mercy Clinic South Physicians | |
723 S Laclede Station Rd Saint Louis MO 63119-4911 | |
(314) 446-2303 | |
Not Available |
Full Name | Mercy Clinic South Physicians |
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Speciality | Family Medicine |
Location | 723 S Laclede Station Rd, Saint Louis, 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 |
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Mercy Clinic South Physicians 9735 Landmark Parkway Dr Ste 200 Saint Louis MO 63127-1666 Ph: (314) 525-1887 | Mercy Clinic South Physicians 723 S Laclede Station Rd Saint Louis MO 63119-4911 Ph: (314) 446-2303 |
NPI Number | 1043609324 |
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Provider Enumeration Date | 01/09/2015 |
Last Update Date | 01/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043609324 | NPI | - | NPPES |
000015644 | Other | MO | MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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