Organization
CARDIAC CIN OF ST LOUIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEANN ROBINSON (AUTHORIZED OFFICIAL)
(478) 722-1062
Entity
Organization
Contact information
Practice address
11628 OLD BALLAS RD # 346, SAINT LOUIS, MO 63141-7030
(615) 386-0064
(615) 386-0067
Mailing address
102 WOODMONT BLVD STE 350, NASHVILLE, TN 37205-2216
(615) 386-0064
(615) 386-0067
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MO
207RI0011X
Interventional Cardiology Physician
—
MO
Other
Enumeration date
02/05/2018
Last updated
10/09/2024
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