Organization
INSTITUTE OF PERSONALIZED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE CHAVIS (OWNER)
(314) 546-6072
Entity
Organization
Contact information
Practice address
7721 CLAYTON RD, CLAYTON, MO 63117-1301
(314) 546-6072
(314) 569-4961
Mailing address
7721 CLAYTON RD, CLAYTON, MO 63117-1301
(314) 546-6072
(314) 569-4961
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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