Organization
ALTA PRIMIER HEALTH SERVICES INC314
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSE LOUIS BEAUBOEUF M.D (PRESIDENT)
(314) 367-1083
Entity
Organization
Contact information
Practice address
2415 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1109
(314) 367-1083
(314) 361-4740
Mailing address
2415 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1109
(314) 367-1083
(314) 361-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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