Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Active
Other names
Breast Surgeons of South County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HINKLE (EXECUTIVE DIRECTOR)
(314) 525-5988
Entity
Organization
Contact information
Practice address
12700 SOUTHFORK RD, SUITE 255, SAINT LOUIS, MO 63128-3201
(314) 525-1545
(314) 525-1685
Mailing address
12700 SOUTHFORK RD, SUITE 255, SAINT LOUIS, MO 63128-3201
(314) 525-1545
(314) 525-1685
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009033148
MO
Other
Enumeration date
12/18/2009
Last updated
06/18/2012
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