Organization
ST LOUIS BARIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA BENEDICK (PRACTICE MANAGER)
(314) 366-4874
Entity
Organization
Contact information
Practice address
10296 BIG BEND RD STE 206, SAINT LOUIS, MO 63122-6582
(314) 366-4874
(314) 366-4875
Mailing address
PO BOX 270419, SAINT LOUIS, MO 63127-0419
(314) 366-4874
(314) 366-4875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2011030112
MO
Other
Enumeration date
11/10/2011
Last updated
11/12/2025
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