Organization
ADVANTICA ADMINISTRATIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA C. BENTRUP (CHIEF FINANCIAL OFFICER)
(314) 656-2720
Entity
Organization
Contact information
Practice address
12399 GRAVOIS RD, 2ND FLOOR, SAINT LOUIS, MO 63127-1750
(314) 543-4900
Mailing address
12399 GRAVOIS RD, 2ND FLOOR, SAINT LOUIS, MO 63127-1750
(314) 543-4900
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/22/2014
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