Organization
ADVANCED GERIATRIC MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCO SICURO MD (PRESIDENT)
(314) 344-7392
Entity
Organization
Contact information
Practice address
12303 DE PAUL DR, ST VINCENT, BRIDGETON, MO 63044-2512
(314) 298-0023
Mailing address
12303 DE PAUL DR, ST VINCENT, BRIDGETON, MO 63044-2512
(314) 298-0023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
04/02/2008
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