# ADVANTAGE PULMONARY, P.C.

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

## Provider details

- **NPI number:** 1831259373
- **Authorized official:** JILL REAGAN (OFFICE MANAGER)
- **Authorized official phone:** (314) 878-4699

## Contact information

- **Practice address:** 969 N MASON RD, SUITE 250, SAINT LOUIS, MO 63141-6338
- **Practice address phone:** (314) 878-4699
- **Practice address fax:** (314) 878-3558
- **Mailing address:** 969 N MASON RD, SUITE 250, SAINT LOUIS, MO 63141-6338
- **Mailing address phone:** (314) 878-4699
- **Mailing address fax:** (314) 878-3558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 03/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201566726 | — | MO |
| 05 | — | 508115003 | — | MO |