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Organization
DISABILITY DETERMINATIONS
Active
Organization
DISABILITY DETERMINATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MOSES (DISTRICT MANAGER)
(314) 416-2901
Entity
Organization
Contact information
Practice address
7545 S LINDBERGH BLVD, 220, SAINT LOUIS, MO 63125-4843
(314) 416-2879
Mailing address
7545 S LINDBERGH BLVD, 220, SAINT LOUIS, MO 63125-4843
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R3462
MO
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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