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Organization

SSM ST. JOSEPH HEALTH CENTER

Active
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Organization

SSM ST. JOSEPH HEALTH CENTER

Active
Other names
The Imaging Center at St. Joseph Medical Park
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN JOHNSON (PRESIDENT)
(314) 989-2072
Entity
Organization

Contact information

Practice address
1475 KISKER RD, SAINT CHARLES, MO 63304-8781
(636) 498-7400
(636) 498-7420
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(636) 498-7420

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL

Other

Enumeration date
06/12/2006
Last updated
12/22/2008
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