Individual
MR. MARTIN J HINTERLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 PLAZA DR STE H, SAINT CLAIR, MO 63077-1137
(636) 629-2022
(636) 629-2082
Mailing address
920 PLAZA DR STE H, SAINT CLAIR, MO 63077-1137
(636) 629-2022
(636) 629-2082
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042595
MO
Other
Enumeration date
12/15/2009
Last updated
12/27/2013
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