Organization
SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARATHI RAJU (SOLE MEMBER)
(636) 236-5820
Entity
Organization
Contact information
Practice address
12900 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63128-3002
(314) 843-4848
(866) 510-2730
Mailing address
12900 TESSON FERRY RD STE 101, SAINT LOUIS, MO 63128-3002
(314) 843-4848
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2001005643
MO
Other
Enumeration date
11/15/2012
Last updated
07/01/2024
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