Organization
DOCTOR'S ON THE WAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D HABERSTROH (PRESIDENT)
(314) 753-1529
Entity
Organization
Contact information
Practice address
712 N 2ND ST, STE 310, SAINT LOUIS, MO 63102-2550
(314) 753-1529
Mailing address
712 N 2ND ST, STE 310, SAINT LOUIS, MO 63102-2550
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
08/11/2014
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