Organization
SSM ST. JOSEPH HEALTH CENTER
Active
Other names
St. Joseph Radiation Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JOHNSON (VICE PRESIDENT)
(314) 989-2072
Entity
Organization
Contact information
Practice address
1475 KISKER RD, SUITE 190, SAINT CHARLES, MO 63304-8781
(636) 498-7800
(636) 498-7819
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
12/22/2008
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