St Louis Medical Rehab Group Llc | |
8045 Big Bend Blvd Suite 201 Webster Groves MO 63119-2714 | |
(314) 443-8667 | |
Not Available |
Full Name | St Louis Medical Rehab Group Llc |
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Speciality | Physical Medicine & Rehabilitation |
Location | 8045 Big Bend Blvd, Webster Groves, Missouri |
Authorized Official Name and Position | Ahmed Ali (CEO) |
Authorized Official Contact | 3144438667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Louis Medical Rehab Group Llc 8045 Big Bend Blvd Suite 201 Webster Groves MO 63119-2714 Ph: (314) 443-8667 | St Louis Medical Rehab Group Llc 8045 Big Bend Blvd Suite 201 Webster Groves MO 63119-2714 Ph: (314) 443-8667 |
NPI Number | 1871888693 |
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Provider Enumeration Date | 06/09/2011 |
Last Update Date | 08/05/2011 |
Identifier | Type | State | Issuer |
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1871888693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | 4301089175 (Michigan) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 4301089175 (Michigan) | Primary |