# 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:** 1770770729
- **Authorized official:** MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
- **Authorized official phone:** (314) 251-1958

## Contact information

- **Practice address:** 10004 KENNERLY RD, STE 115A, SAINT LOUIS, MO 63128-2141
- **Practice address phone:** (314) 543-4444
- **Practice address fax:** (314) 843-8599
- **Mailing address:** 10004 KENNERLY RD, STE 115A, SAINT LOUIS, MO 63128-2141
- **Mailing address phone:** (314) 543-4444
- **Mailing address fax:** (314) 843-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 01/04/2019