Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Other names
Premier Women's Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HINKLE (EXEC DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
714 GRAVOIS RD, STE 220, FENTON, MO 63026-7723
(636) 717-6777
(636) 717-6778
Mailing address
714 GRAVOIS RD, STE 220, FENTON, MO 63026-7723
(636) 717-6777
(636) 717-6778
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
06/18/2012
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