Organization
S&J OF SOUTH COUNTY LLC
Active
Other names
Allergy Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRLEY S JOO M.D. (MANAGER)
(314) 302-0736
Entity
Organization
Contact information
Practice address
11188 TESSON FERRY RD, SUITE 101, SAINT LOUIS, MO 63123-6962
(636) 717-6717
Mailing address
10 LONG MEADOWS LN, SAINT LOUIS, MO 63131-3014
(314) 302-0736
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
2001009169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144262825
NPI
—
Enumeration date
08/26/2011
Last updated
12/15/2014
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