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Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Other names
South County Endocrinology & Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HINKLE (EXEC DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 63128-3201
(314) 543-5285
(314) 543-5238
Mailing address
12700 SOUTHFORK RD, STE 215, SAINT LOUIS, MO 63128-3201
(314) 543-5285
(314) 543-5238
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
06/15/2012
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