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Organization
VAX CONCIERGE MO PC
Active
Organization
VAX CONCIERGE MO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH KANOWITZ (OWNER)
(773) 260-0964
Entity
Organization
Contact information
Practice address
8150 AMHERST AVE, UNIVERSITY CITY, MO 63130-3605
(773) 260-0964
Mailing address
8150 AMHERST AVE, UNIVERSITY CITY, MO 63130-3605
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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