Organization
MIDWEST MEDICAL ASSOCIATES, INC.
Active
Other names
Southwest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK F GARRETT M.D. (PRESIDENT / MEDICAL DIRECTOR)
(314) 752-7100
Entity
Organization
Contact information
Practice address
7345 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-3284
Mailing address
7345 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-3284
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH3968
RR MEDICARE
MO
Enumeration date
09/06/2005
Last updated
12/20/2007
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