Organization
SOUTH COUNTY ORTHOPEDICS AND SPORTS MEDICINE INC
Active
Other names
Michael Ralph, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HAROLD RALPH M.D. (PRESIDENT)
(314) 849-7979
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD STE 274B, SAINT LOUIS, MO 63128-2177
(314) 849-7979
(314) 849-3555
Mailing address
10004 KENNERLY RD STE 274B, SAINT LOUIS, MO 63128-2177
(314) 849-7979
(314) 849-3555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201725439
—
MO
Enumeration date
03/10/2008
Last updated
01/07/2009
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