Organization
MEG ASSOCIATES OF ST. LOUIS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE HEBB (CFO)
(636) 239-4550
Entity
Organization
Contact information
Practice address
3655 VISTA AVE, TG055, SAINT LOUIS, MO 63110-2539
(314) 577-8600
(314) 577-8605
Mailing address
21 W 3RD ST, WASHINGTON, MO 63090-2630
(636) 239-4550
(636) 239-0232
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716786306
—
MO
Enumeration date
07/20/2006
Last updated
07/14/2015
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