Slucare Dept Of Internal Medicine-endocrinology | |
1225 South Grand, 2l, Door 3 St Louis MO 63104 | |
(314) 977-6157 | |
Not Available |
Full Name | Slucare Dept Of Internal Medicine-endocrinology |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1225 South Grand, 2l, Door 3, St Louis, Missouri |
Authorized Official Name and Position | Alyce Lanxon (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3149776828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Slucare Dept Of Internal Medicine-endocrinology 3545 Lindell Blvd Fl 3 Saint Louis MO 63103-1020 Ph: (314) 977-6828 | Slucare Dept Of Internal Medicine-endocrinology 1225 South Grand, 2l, Door 3 St Louis MO 63104 Ph: (314) 977-6157 |
NPI Number | 1740406750 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 09/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740406750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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