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Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Active
Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Active
Other names
Mercy Clinic South Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization
Contact information
Practice address
714 GRAVOIS RD, STE 115, FENTON, MO 63026-7723
(636) 717-6775
(636) 717-6755
Mailing address
714 GRAVOIS RD STE 115, FENTON, MO 63026-7723
(636) 717-6775
(636) 717-6755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
01/04/2019
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