Organization
HGP MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED R MILLS (CHAIRMAN)
(210) 241-3626
Entity
Organization
Contact information
Practice address
1320 N JEFFERSON AVE, SAINT LOUIS, MO 63106-2111
(314) 664-9123
(314) 664-9169
Mailing address
1320 N JEFFERSON AVE, SAINT LOUIS, MO 63106-2111
(314) 664-9123
(314) 664-9169
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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