Organization
BERLAND DIAGNOSTIC IMAGING CENTER OF CREVE COEUR INC
Active
Organization
BERLAND DIAGNOSTIC IMAGING CENTER OF CREVE COEUR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D SEELIG MD (PRESIDENT)
(314) 567-1656
Entity
Organization
Contact information
Practice address
774 N NEW BALLAS RD, ST LOUIS, MO 63141-6716
(314) 567-1656
(314) 567-0622
Mailing address
774 N NEW BALLAS RD, 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
—
119840
MO BLUE
MO
01
—
119840
B CHOICE
—
01
—
33314
GHP
—
Enumeration date
07/11/2006
Last updated
04/20/2008
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