Organization
COLE INTERNAL MEDICINE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANITA COLE (OWNER)
(314) 645-3677
Entity
Organization
Contact information
Practice address
6744 CLAYTON RD, SUITE 102, SAINT LOUIS, MO 63117-1637
(314) 645-3677
Mailing address
6744 CLAYTON RD, SUITE 102, SAINT LOUIS, MO 63117-1637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101702
MO
Other
Enumeration date
10/28/2008
Last updated
02/06/2009
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