# EXPRESS CLINICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780323758
- **Authorized official:** OTIS GAMBLE (GENERAL MANAGER)
- **Authorized official phone:** (618) 301-9845

## Contact information

- **Practice address:** 7321 S LINDBERGH BLVD STE 320, SAINT LOUIS, MO 63125-4500
- **Practice address phone:** (314) 222-7344
- **Mailing address:** 2105 VANDALIA ST STE 9, COLLINSVILLE, IL 62234-4859
- **Mailing address phone:** (618) 301-9845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2022
- **Last updated:** 05/29/2022
