Organization
HEALTHMARK ST PETERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE EKSTROM (OFFICE MANAGER)
(314) 446-0050
Entity
Organization
Contact information
Practice address
11600 MANCHESTER RD, STE 101 HEALTHMARK ST PETERS LLC, DES PERES, MO 63131
(314) 446-0050
Mailing address
225 FIRST EXECUTIVE AVE, ST PETERS, MO 63376
(314) 446-0050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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