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3409 Union Blvd Saint Louis MO 63115-1127 | |
| (314) 381-4141 | |
| (314) 381-4143 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 3409 Union Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Wendell Nelson Williams (OWNER-PRESIDENT) |
| Authorized Official Contact | 3143814141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11939 Manchester Rd #408 Saint Louis MO 63131-4502 Ph: (314) 381-4141 | 3409 Union Blvd Saint Louis MO 63115-1127 Ph: (314) 381-4141 |
| NPI Number | 1437277589 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437277589 | NPI | - | NPPES |
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