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7345 Watson Rd Saint Louis MO 63119-4405 | |
| (314) 752-7100 | |
| (314) 752-3284 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7345 Watson Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Patrick F Garrett (PRESIDENT / MEDICAL DIRECTOR) |
| Authorized Official Contact | 3147527100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7345 Watson Rd Saint Louis MO 63119-4405 Ph: (314) 752-7100 | 7345 Watson Rd Saint Louis MO 63119-4405 Ph: (314) 752-7100 |
| NPI Number | 1417941584 |
|---|---|
| Provider Enumeration Date | 09/06/2005 |
| Last Update Date | 12/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417941584 | NPI | - | NPPES |
| CH3968 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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