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Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Active
Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Active
Other names
Mercy Clinic South Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization
Contact information
Practice address
2900 LEMAY FERRY RD, SUITE 104, SAINT LOUIS, MO 63125-3900
(314) 543-5984
Mailing address
2900 LEMAY FERRY RD, SUITE 104, SAINT LOUIS, MO 63125-3900
(314) 543-5984
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
01/04/2019
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