Slucare Dept Of Internal Medicine-gastroenterology | |
1225 South Grand, 2l, Door 3,4 St Louis MO 63104 | |
(314) 257-3760 | |
Not Available |
Full Name | Slucare Dept Of Internal Medicine-gastroenterology |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1225 South Grand, 2l, Door 3,4, 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-gastroenterology 3545 Lindell Blvd Fl 3 Saint Louis MO 63103-1020 Ph: (314) 977-6828 | Slucare Dept Of Internal Medicine-gastroenterology 1225 South Grand, 2l, Door 3,4 St Louis MO 63104 Ph: (314) 257-3760 |
NPI Number | 1659597664 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 09/21/2021 |
Identifier | Type | State | Issuer |
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1659597664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Slucare Department Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 South Grand, 2l, Door 3,4, St Louis, MO 63104 Phone: 314-977-6164 | |
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John M Laird Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Road, Suite 230a, St Louis, MO 63131 Phone: 314-872-3620 Fax: 314-872-9003 | |
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