Organization
MERCY CLINIC GERIATRICS, LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Other names
Mercy Geriatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
JOHN W. HUBERT M.D. (PRESIDENT)
(314) 251-1700
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 6017-B, SAINT LOUIS, MO 63141-8232
(314) 251-6285
(314) 251-4173
Mailing address
621 S NEW BALLAS RD, SUITE 6017-B, SAINT LOUIS, MO 63141-8232
(314) 251-6285
(314) 251-4173
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
05/05/2014
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