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Organization
ST ANN OB GYN INC
Active
Organization
ST ANN OB GYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED R MONTERUBIO JR. MD (VP VICE PRESIDENT)
(314) 432-2880
Entity
Organization
Contact information
Practice address
3009 N BALLAS ROAD, SUITE 356C, ST LOUIS, MO 63131-2322
(314) 432-2880
(314) 432-4810
Mailing address
3009 N BALLAS ROAD, SUITE 356C, ST LOUIS, MO 63131-2322
(314) 432-2880
(314) 432-4810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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