Organization
MERCY CLINIC NEUROLOGY, LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Other names
Mercy Neurology, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 6005-B, SAINT LOUIS, MO 63141-8232
(314) 251-6075
(314) 251-6634
Mailing address
621 S NEW BALLAS RD, SUITE 6005-B, SAINT LOUIS, MO 63141-8232
(314) 251-6075
(314) 251-6634
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053479188
—
MO
01
—
DO0017
RAILROAD MEDICARE
MO
Enumeration date
12/04/2006
Last updated
04/28/2025
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