Organization
MIRACL, LLC
Active
Other names
MIRACL - OB Ultrasound
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY EGHIGIAN (SR. DIRECTOR, MANAGED CARE)
(618) 791-0975
Entity
Organization
Contact information
Practice address
1050 W 10TH ST # US, ROLLA, MO 65401-2905
(314) 454-8181
(314) 747-1429
Mailing address
1050 W 10TH ST # US, ROLLA, MO 65401-2905
(314) 454-8181
(314) 747-1429
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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