Organization
MIDCOUNTY OB GYN GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN T MYERS (PRESIDENT)
(314) 567-9199
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD STE 250C, SAINT LOUIS, MO 63131-2322
(314) 567-9199
(618) 939-7539
Mailing address
3009 N BALLAS RD STE 250C, SAINT LOUIS, MO 63131-2322
(314) 567-9199
(618) 939-7539
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29126
MO
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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