| Slssc, Llc | |
|
633 Emerson Rd Suite 160 Creve Coeur MO 63141-6739 | |
| (618) 535-0851 | |
| Not Available |
| Full Name | Slssc, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 633 Emerson Rd, Creve Coeur, Missouri |
| Authorized Official Name and Position | Jay Rom (PRESIDENT) |
| Authorized Official Contact | 5135618900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slssc, Llc 633 Emerson Rd Suite 160 Creve Coeur MO 63141-6739 Ph: (618) 535-0851 | Slssc, Llc 633 Emerson Rd Suite 160 Creve Coeur MO 63141-6739 Ph: (618) 535-0851 |
| NPI Number | 1912194465 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912194465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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