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Organization

FOREST PARK MEDICAL CLINIC INC

Active
Other names
MEDEX
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES E GREENWALD M.D. (PRESIDENT)
(314) 367-6600
Entity
Organization

Contact information

Practice address
1034 S BRENTWOOD BLVD, SUITE 1250, SAINT LOUIS, MO 63117-1223
(314) 367-6600
(314) 367-5982
Mailing address
1034 S BRENTWOOD BLVD, SUITE 1250, SAINT LOUIS, MO 63117-1223
(314) 367-6600
(314) 367-5982

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary

Other

Enumeration date
09/17/2013
Last updated
09/17/2013
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