Organization
VAMC ST. LOUIS MO
Active
Organization
VAMC ST. LOUIS MO
Active
Other names
131st Medical Group MO ANG
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY ANN ALEXANDER-LEDBETTER PAC (ORTHO PHYSICIAN ASSISTANT)
(314) 652-4100
Entity
Organization
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7034
Mailing address
1424 DALE DR, TROY, IL 62294-3614
(618) 667-0404
(314) 289-7034
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
02/01/2006
Last updated
07/28/2008
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