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Organization
SENIORWELL POD OF MISSOURI LLC
Active
Organization
SENIORWELL POD OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MORONEY (AUTHORIZED OFFICIAL/CEO)
(844) 882-3127
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3725
(844) 882-3127
Mailing address
2100 E LAKE COOK RD STE 1000, BUFFALO GROVE, IL 60089-1999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
11/28/2018
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