Organization
AFFIRMED FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURAIN CARROLL HENDRICKS M.D. (PHYSICIAN-OWNER)
(314) 395-3575
Entity
Organization
Contact information
Practice address
3645 OAKMOUNT AVE, SAINT LOUIS, MO 63121-4906
(314) 383-0330
(314) 383-0510
Mailing address
3645 OAKMOUNT AVE, SAINT LOUIS, MO 63121-4906
(314) 383-0330
(314) 383-0510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004001454
MO
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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