Organization
MEDICAL ACUTE CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASHIM RAZA M.D. (DIRECTOR)
(314) 434-3114
Entity
Organization
Contact information
Practice address
13035 OLIVE BLVD, SUITE 113-115, SAINT LOUIS, MO 63141-6173
(314) 434-3114
(314) 434-3117
Mailing address
PO BOX 1449, MARYLAND HEIGHTS, MO 63043-0449
(314) 434-3114
(314) 434-3117
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
101414
MO
Other
Enumeration date
10/29/2007
Last updated
04/15/2010
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