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Organization

SAINT LOUIS CONNECTCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY ESKRIDGE CEO (PRESIDENT)
(314) 879-6234
Entity
Organization

Contact information

Practice address
5535 DELMAR BOULEVARD, SAINT LOUIS, MO 63112-3005
(314) 879-6363
(314) 879-6372
Mailing address
5535 DELMAR BOULEVARD, SAINT LOUIS, MO 63112-3005
(314) 879-6363
(314) 879-6372

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RI0200X
Infectious Disease Physician
207RN0300X
Nephrology Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207V00000X
Obstetrics & Gynecology Physician
207Y00000X
Otolaryngology Physician
2084P0800X
Psychiatry Physician
2085B0100X
Body Imaging Physician
208800000X
Urology Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500567508
MO
Enumeration date
05/02/2006
Last updated
07/21/2010
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