Organization
MISSOURI HEART AND VASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R HORACE (MANAGING MEMBER)
(618) 973-8740
Entity
Organization
Contact information
Practice address
1028 S KIRKWOOD RD, KIRKWOOD, MO 63122-7222
(314) 394-2950
(314) 394-2253
Mailing address
1028 S KIRKWOOD RD, KIRKWOOD, MO 63122-7222
(314) 394-2950
(314) 394-2253
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2015
Last updated
06/14/2017
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