| Wuca - Balanced Care For Women | |
|
10806 Olive Blvd Saint Louis MO 63141-7773 | |
| (314) 993-7009 | |
| (314) 993-1535 |
| Full Name | Wuca - Balanced Care For Women |
|---|---|
| Speciality | Clinic/Center |
| Location | 10806 Olive Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy Eghigian (DIRECTOR, MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wuca - Balanced Care For Women 10806 Olive Blvd Saint Louis MO 63141-7773 Ph: (314) 993-7009 | Wuca - Balanced Care For Women 10806 Olive Blvd Saint Louis MO 63141-7773 Ph: (314) 993-7009 |
| NPI Number | 1275128407 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 05/14/2021 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20210826003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275128407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Holly H. Kodner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720094295 PECOS PAC ID: 0446550347 Enrollment ID: I20210826003515 |
| Provider Name | Laura A. Baalmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700892221 PECOS PAC ID: 4587820097 Enrollment ID: I20210907002096 |
| Provider Name | Donna Nicole Senciboy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508025644 PECOS PAC ID: 7911170295 Enrollment ID: I20210914001099 |
| Provider Name | Stacey Michele Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235535535 PECOS PAC ID: 1254738016 Enrollment ID: I20210921001453 |
| Provider Name | Diane M Sueoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598900201 PECOS PAC ID: 0345647186 Enrollment ID: I20210922000787 |
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