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Organization

IGNITE PERFORMANCE AND HEALTH

Active
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Organization

IGNITE PERFORMANCE AND HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT HARSHMAN MD (MEDICAL DIRECTOR)
(240) 344-3381
Entity
Organization

Contact information

Practice address
14830 CLAYTON RD, CHESTERFIELD, MO 63017-7882
(240) 344-3381
Mailing address
14830 CLAYTON RD, CHESTERFIELD, MO 63017-7882
(240) 344-3381

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/12/2024
Last updated
11/12/2024
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