# 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:** 1619238235
- **Authorized official:** MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
- **Authorized official phone:** (314) 251-1958

## Contact information

- **Practice address:** 2900 LEMAY FERRY RD, SUITE 104, SAINT LOUIS, MO 63125-3900
- **Practice address phone:** (314) 543-5984
- **Mailing address:** 2900 LEMAY FERRY RD, SUITE 104, SAINT LOUIS, MO 63125-3900
- **Mailing address phone:** (314) 543-5984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 01/04/2019