Organization
WALKER MEDICAL BUILDING MRI SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HORACE (MANAGER)
(618) 973-8740
Entity
Organization
Contact information
Practice address
12855 N 40 DR LOWR LEVEL, SAINT LOUIS, MO 63141-8657
(618) 973-8740
Mailing address
12855 N 40 DR LOWR LEVEL, SAINT LOUIS, MO 63141-8657
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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