Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Active
Other names
Mercy Clinic South Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization
Contact information
Practice address
12700 SOUTHFORK RD, STE 200 & 220, SAINT LOUIS, MO 63128-3201
(314) 543-5942
(314) 543-5947
Mailing address
12700 SOUTHFORK RD, STE.200 & 220, SAINT LOUIS, MO 63128-3201
(314) 543-5942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
106241
MO
Other
Enumeration date
09/14/2009
Last updated
01/04/2019
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