Organization
ROGER COLE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER BARTO COLE MD, PHD (OWNER, PHYSICIAN)
(314) 367-4800
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD, SUITE 507, SAINT LOUIS, MO 63108-3725
(314) 367-4800
Mailing address
4625 LINDELL BLVD, SUITE 507, SAINT LOUIS, MO 63108-3725
(314) 367-4800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2011012589
MO
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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