Organization
WILLIAM R REILLY INC
Active
Other names
St. Louis Cardiovascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R REILLY MD (OWNER)
(618) 939-4200
Entity
Organization
Contact information
Practice address
450 N. NEW BALLAS RD, STE 170W, ST. LOUIS, MO 63141-6835
(618) 939-4200
(618) 939-4256
Mailing address
PO BOX 78399, ST. LOUIS, MO 63178-8399
(618) 939-4200
(618) 939-4256
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
R2F41
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20248037
—
MO
Enumeration date
09/16/2006
Last updated
02/20/2012
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