Organization
SOUTH COUNTY ENDOCRINOLOGY AND OBESITY MEDICINE LLC
Active
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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