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Organization
ST. JOHN'S MERCY SUPPORT SERVICES
Active
Organization
ST. JOHN'S MERCY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL F. HINTZE M.D. (CMO/VICE PRESIDENT, MEDICAL AFFAIRS)
(314) 251-1955
Entity
Organization
Contact information
Practice address
300 WINDING WOODS DR, SUITE 112, O FALLON, MO 63366-4771
(636) 379-6600
Mailing address
300 WINDING WOODS DR, SUITE 112, O FALLON, MO 63366-4771
(636) 379-6600
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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