Organization
STE. GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Other names
Specialty Clinic at Bloomsdale
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WOLK (BUSINESS OFFICE DIRECTOR)
(573) 883-7703
Entity
Organization
Contact information
Practice address
255 BODERMAN, SUITE 2A, BLOOMSDALE, MO 63670
(573) 883-4473
(573) 883-4472
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-4473
(573) 883-4472
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
01/13/2023
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