Organization
EUCLID PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEL ROSE BOYKIN-WRIGHT (OWNER)
(314) 361-6644
Entity
Organization
Contact information
Practice address
3737 N KINGSHIGHWAY BLVD STE 107, SAINT LOUIS, MO 63115-1703
(314) 361-6644
(314) 361-3611
Mailing address
3737 N KINGSHIGHWAY BLVD STE 107, SAINT LOUIS, MO 63115-1703
(314) 361-6644
(314) 361-3611
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
104284
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206755571
—
MO
Enumeration date
03/24/2010
Last updated
03/24/2010
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