# RESTORE CENTER FOR ENDOMETRIOSIS, LLC

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

## Provider details

- **NPI number:** 1952140535
- **Authorized official:** ADRIENNE GRIFFARD (BUSINESS MANAGER)
- **Authorized official phone:** (636) 209-2360

## Contact information

- **Practice address:** 12812 TESSON FERRY RD, SAINT LOUIS, MO 63128-2913
- **Practice address phone:** (314) 970-1040
- **Practice address fax:** (314) 970-1042
- **Mailing address:** 12812 TESSON FERRY RD, SAINT LOUIS, MO 63128-2913
- **Mailing address phone:** (314) 970-1040
- **Mailing address fax:** (314) 970-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2024
- **Last updated:** 05/22/2024
