Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Other names
St Anthony's Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HINKLE (EECUTIVE DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, STE 268B, SAINT LOUIS, MO 63128-2141
(314) 543-5290
(314) 543-5263
Mailing address
10004 KENNERLY RD, STE 268B, SAINT LOUIS, MO 63128-2141
(314) 543-5290
(314) 543-5263
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
08/04/2010
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