Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES
Active
Other names
St Louis Surgical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HINKLE (EXECUTIVE DIRECTOR)
(314) 543-5988
Entity
Organization
Contact information
Practice address
10012 KENNERLY RD, STE 406, SAINT LOUIS, MO 63128-0000
(314) 525-1224
(314) 525-4957
Mailing address
10012 KENNERLY RD, SUITE 406, SAINT LOUIS, MO 63128-2197
(314) 525-1224
(314) 525-4957
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
08/03/2011
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