# ST. JOHN'S MERCY SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568570620
- **Authorized official:** PAUL F. HINTZE M.D. (CMO/VICE PRESIDENT, MEDICAL AFFAIRS)
- **Authorized official phone:** (314) 251-1955

## Contact information

- **Practice address:** 300 WINDING WOODS DR, SUITE 112, O FALLON, MO 63366-4771
- **Practice address phone:** (636) 379-6600
- **Mailing address:** 300 WINDING WOODS DR, SUITE 112, O FALLON, MO 63366-4771
- **Mailing address phone:** (636) 379-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 08/22/2020