Organization
SSM BERLAND EUREKA IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D SEELIG MD (PRESIDENT)
(314) 567-1656
Entity
Organization
Contact information
Practice address
#20 THE LEGENDS PARKWAY DRIVE, SUITE 160, EUREKA, MO 63025
(636) 938-1656
(636) 938-1674
Mailing address
774 N NEW BALLAS ROAD, ST LOUIS, MO 63141-6716
(314) 567-1656
(314) 567-0622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
715484606
MO CAID
MO
Enumeration date
04/13/2007
Last updated
01/15/2008
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