Organization
CONSULTATIVE CARDIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GREEN (BILLING DEPARTMENT)
(314) 878-0163
Entity
Organization
Contact information
Practice address
400 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2880
(636) 724-6433
Mailing address
PO BOX 841120, KANSAS CITY, MO 64184-1120
(314) 878-0163
(314) 878-4562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
38383
MO
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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