# ST. ANTHONY'S PHYSICIAN ORGANIZATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Clinic South Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558783217
- **Authorized official:** MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
- **Authorized official phone:** (314) 251-1958

## Contact information

- **Practice address:** 714 GRAVOIS RD, SUITE 220, FENTON, MO 63026-7723
- **Practice address phone:** (636) 717-6777
- **Practice address fax:** (314) 525-1028
- **Mailing address:** 714 GRAVOIS RD, SUITE 220, FENTON, MO 63026-7723
- **Mailing address phone:** (636) 717-6777
- **Mailing address fax:** (314) 525-1028

## Taxonomy

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

## Other

- **Enumeration date:** 01/15/2014
- **Last updated:** 01/04/2019