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Organization
MISSOURIHEALTHPLUS
Active
Organization
MISSOURIHEALTHPLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY O'NEILL (CEO)
(314) 786-3330
Entity
Organization
Contact information
Practice address
7777 BONHOMME AVE, SUITE 2300, CLAYTON, MO 63105-1911
(314) 786-3330
Mailing address
7777 BONHOMME AVE, SUITE 2300, CLAYTON, MO 63105-1911
(314) 786-3330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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