Organization
MIDWEST EMERGENCY ST. ALEXIUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN L GLOVER DO (OWNER/PRESIDENT)
(817) 451-4208
Entity
Organization
Contact information
Practice address
3933 S BROADWAY, SAINT LOUIS, MO 63118-4601
(314) 865-7000
(817) 563-3699
Mailing address
6300 RIDGLEA PL STE 201, FORT WORTH, TX 76116-5707
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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