# FRG RLT HOLDINGS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Joseph Obstetrics and Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144798737
- **Authorized official:** AMY L ELLIOTT (ACCOUNT MANAGER)
- **Authorized official phone:** (314) 593-2694

## Contact information

- **Practice address:** 1747 SMIZER STATION RD STE 1, FENTON, MO 63026-2784
- **Practice address phone:** (636) 861-2125
- **Practice address fax:** (636) 861-1691
- **Mailing address:** PO BOX 790379, SAINT LOUIS, MO 63179-0379
- **Mailing address phone:** (314) 628-1405
- **Mailing address fax:** (314) 878-4562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2018
- **Last updated:** 07/03/2024