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Organization

THE HEART HEALTH CENTER CATH LAB, LLC

Active
Other names
The Heart Health Center Cath Lab
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN D SOFFER MD (PRESIDENT)
(314) 993-6969
Entity
Organization

Contact information

Practice address
450 N NEW BALLAS RD, STE 170W, SAINT LOUIS, MO 63141-6835
(314) 993-6969
(314) 993-0792
Mailing address
450 N NEW BALLAS RD, STE 170W, SAINT LOUIS, MO 63141-6835
(314) 993-6969
(314) 993-0792

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
LC0615102
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073506051
INDIV PROVIDER NPI MC
MO
01
1144214297
INDIV PROVIDER NPI P
MO
01
1821081712
INDIV PROVIDER NPI COLE
MO
01
1831182807
INDIV PROVIDER NPI KOP
MO
01
P00275849
RAILROAD MEDICARE
MO
Enumeration date
08/25/2005
Last updated
12/26/2007
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