| St Anthony's Gastroenterology | |
|
10004 Kennerly Rd Ste. 364b Saint Louis MO 63128-2141 | |
| (314) 543-5911 | |
| (314) 543-5914 |
| Full Name | St Anthony's Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 10004 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Dave Hinkle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3145435903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony's Gastroenterology 10004 Kennerly Rd Ste. 364b Saint Louis MO 63128-2141 Ph: (314) 543-5911 | St Anthony's Gastroenterology 10004 Kennerly Rd Ste. 364b Saint Louis MO 63128-2141 Ph: (314) 543-5911 |
| NPI Number | 1225225279 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 08/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225225279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R8411 (Missouri) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
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