Organization
BELLERIVE OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO MORA MD (PHYSICIAN OWNER)
(314) 291-5900
Entity
Organization
Contact information
Practice address
12277 DEPAUL DR, STE 402, BRIDGETON, MO 63044
(314) 291-5900
(314) 344-7158
Mailing address
12277 DEPAUL DR, STE 402, BRIDGETON, MO 63044
(314) 291-5900
(314) 344-7158
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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