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Organization

ST LOUIS UNIVERSITY

Active
Other names
SLUCare Department of Radiology
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALYCE LANXON (EXECUTIVE DIRECTOR)
(314) 977-6828
Entity
Organization

Contact information

Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-2170
Mailing address
3545 LINDELL BLVD FL 3, SAINT LOUIS, MO 63103-1020
(314) 977-6828
(314) 977-6872

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085N0700X
Neuroradiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician

Other

Enumeration date
02/08/2006
Last updated
09/21/2021
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