Organization
REST EASY OF ST LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN JAMES FISCHER (OWNER)
(225) 767-9864
Entity
Organization
Contact information
Practice address
13421 MANCHESTER RD, STE. 107, DES PERES, MO 63131-1740
(225) 303-1055
Mailing address
5231 BRITTANY DR, BATON ROUGE, LA 70808-9143
(225) 767-9864
(225) 769-5008
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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