Organization
HERITAGE WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WYATT (CRED. SPEC.)
(636) 277-9927
Entity
Organization
Contact information
Practice address
2730 S SAINT PETERS PKWY, SAINT PETERS, MO 63303-5677
(636) 277-9927
(636) 295-4741
Mailing address
2730 S SAINT PETERS PKWY, SAINT PETERS, MO 63303-5677
(636) 277-9927
(636) 295-4741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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