Organization
INSTITUTE OF MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN PATRICK OSHAUGHNESSY (OWNER)
(317) 595-0601
Entity
Organization
Contact information
Practice address
6824 BALSON AVE, SAINT LOUIS, MO 63143-2603
(317) 595-0601
Mailing address
6824 BALSON AVE, SAINT LOUIS, MO 63143-2603
(317) 595-0601
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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