Organization
CARDIOLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON PARR (PATIENT ACCOUNTS SUPERVISOR)
(314) 447-1301
Entity
Organization
Contact information
Practice address
3023 N BALLAS RD, SUITE 400D, SAINT LOUIS, MO 63131-2330
(314) 447-1301
(314) 447-1310
Mailing address
3023 N BALLAS RD, SUITE 400D, SAINT LOUIS, MO 63131-2330
(314) 447-1301
(314) 447-1310
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7117
RAILROAD MEDICARE
IL
01
—
CP9092
RAILROAD MEDICARE
MO
Enumeration date
10/05/2006
Last updated
10/05/2009
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