Organization
REZILIENT OLH PA
Active
Parent organization
OPENLOOP HEALTHCARE PARTNERS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPENLOOP HEALTHCARE PARTNERS PC
Authorized official
CALLISTA FINK (CARE OPERATIONS COORDINATOR)
(314) 328-8331
Entity
Organization
Contact information
Practice address
7923 FORSYTH BLVD, CLAYTON, MO 63105-3808
(314) 912-4234
(314) 887-5157
Mailing address
5595 PERSHING AVE, SAINT LOUIS, MO 63112-1703
(314) 912-4234
(314) 887-5159
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/14/2021
Last updated
10/12/2022
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