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Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Other names
Premier Women's Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HINKLE (EXEC DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
714 GRAVOIS RD, STE 220, FENTON, MO 63026-7723
(636) 717-6777
(636) 717-6778
Mailing address
714 GRAVOIS RD, STE 220, FENTON, MO 63026-7723
(636) 717-6777
(636) 717-6778
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
06/18/2012
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