Organization
SOVEREIGN IMAGING OF ST LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MATT TRENT (COO)
(405) 842-7768
Entity
Organization
Contact information
Practice address
11652 STUDT AVE, CREVE COEUR, MO 63141-7025
(314) 432-2235
Mailing address
1601 NW EXPRESSWAY, SUITE 1300, OKLAHOMA CITY, OK 73118
(405) 842-7768
(405) 842-7789
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
2874
MO
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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