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Organization

PREMIER CDS SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEONDA POKE (EXECUTIVE DIRECTOR)
(314) 833-4466
Entity
Organization

Contact information

Practice address
4144 LINDELL BLVD STE 218, SAINT LOUIS, MO 63108-2932
(314) 833-4466
Mailing address
4144 LINDELL BLVD STE 218, SAINT LOUIS, MO 63108-2932
(314) 833-4466
(314) 833-3119

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
02/27/2020
Last updated
02/27/2020
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