| South County Comprehensive Care Llc | |
|
9911 Kennerly Rd Ste C Saint Louis MO 63128-2700 | |
| (314) 458-7403 | |
| Not Available |
| Full Name | South County Comprehensive Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9911 Kennerly Rd Ste C, Saint Louis, Missouri |
| Authorized Official Name and Position | Sarina T Phatak (PHYSICIAN) |
| Authorized Official Contact | 3144587403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Comprehensive Care Llc 9911 Kennerly Rd Ste C Saint Louis MO 63128-2700 Ph: (314) 458-7403 | South County Comprehensive Care Llc 9911 Kennerly Rd Ste C Saint Louis MO 63128-2700 Ph: (314) 458-7403 |
| NPI Number | 1760611081 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760611081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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