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Organization
MISSOURI HEALTHCARE LLC
Active
Organization
MISSOURI HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSLAN NURUSHEV (OWNER)
(314) 925-7517
Entity
Organization
Contact information
Practice address
2901 UNION RD, UNIT 205B, SAINT LOUIS, MO 63125-3972
(314) 925-7517
(314) 925-7511
Mailing address
2901 UNION RD, UNIT 205B, SAINT LOUIS, MO 63125-3972
(314) 925-7517
(314) 925-7511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105827
MO
Other
Enumeration date
08/21/2014
Last updated
09/10/2014
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