Organization
ST. LOUIS CARDIOVASCULAR INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RUSSELL HORACE (MANAGING MEMBER)
(618) 235-2299
Entity
Organization
Contact information
Practice address
1028 S KIRKWOOD RD, KIRKWOOD, MO 63122-7222
(314) 394-2255
(618) 394-2253
Mailing address
1028 S KIRKWOOD RD, KIRKWOOD, MO 63122-7222
(314) 394-2255
(618) 394-2253
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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