Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Other names
St Anthony's Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HINKLE (EXECUTIVE DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, STE. 364B, SAINT LOUIS, MO 63128-2141
(314) 543-5911
(314) 543-5914
Mailing address
10004 KENNERLY RD, STE. 364B, SAINT LOUIS, MO 63128-2141
(314) 543-5911
(314) 543-5914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8411
MO
207RG0100X
Gastroenterology Physician
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Other
Enumeration date
10/03/2007
Last updated
08/04/2010
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