Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Parent organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Authorized official
MR. DAVE HINKLE (EXECUTIVE DIRECTOR)
(314) 543-5988
Entity
Organization
Contact information
Practice address
2900 LEMAY FERRY ROAD, SUITE 216, ST. LOUIS, MO 63125-3900
(314) 543-5988
(314) 416-8547
Mailing address
2900 LEMAY FERRY ROAD, SUITE 216, ST. LOUIS, MO 63125-3900
(314) 543-5988
(314) 416-8547
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
07/01/2009
Last updated
08/13/2009
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