Organization
ALTA PRIMIER HEALTH SERVICES INC314
Active
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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