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Organization

SLH VISTA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY ADAMS (SVP REGIONAL OPERATIONS, TENET)
(469) 893-2563
Entity
Organization

Contact information

Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
(314) 577-8003
Mailing address
PO BOX 741286, ATLANTA, GA 30374-1286
(314) 577-8000
(314) 577-8003

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
01/07/2011
Last updated
07/28/2016
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