| Nutriformance | |
|
10407 Clayton Rd Frontenac MO 63131-2909 | |
| (314) 432-6103 | |
| (314) 692-0448 |
| Full Name | Nutriformance |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 10407 Clayton Rd, Frontenac, Missouri |
| Authorized Official Name and Position | Ellie Huff (REGISTERED DIETITIAN/CO-OWNER) |
| Authorized Official Contact | 3146096835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutriformance 10407 Clayton Rd Frontenac MO 63131-2909 Ph: () - | Nutriformance 10407 Clayton Rd Frontenac MO 63131-2909 Ph: (314) 432-6103 |
| NPI Number | 1265909154 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265909154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Center For Regenerative And Interventional Spine And Sports Pain Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10435 Clayton Rd Ste 110, Frontenac, MO 63131 Phone: 314-312-2862 |