Organization
INSTACLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA SOHN RN (PRESIDENT, CEO)
(314) 406-5312
Entity
Organization
Contact information
Practice address
10805 SUNSET OFFICE DR, SUITE 300, SAINT LOUIS, MO 63127-1017
(314) 892-7575
Mailing address
10805 SUNSET OFFICE DR, SUITE 300, SAINT LOUIS, MO 63127-1017
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000045196
NEW PTAN MASS IMMUNIZER PROVIDER NUMBER
MO
Enumeration date
07/14/2006
Last updated
05/29/2008
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