Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Other names
Me'Tis Breast Care
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE GRASS CPC (MANAGER PHYSICIAN BILLING)
(573) 883-4472
Entity
Organization
Contact information
Practice address
1455 HIGHWAY 61 STE B, FESTUS, MO 63028-4109
(573) 883-4441
(573) 883-4472
Mailing address
1455 HIGHWAY 61 STE B, FESTUS, MO 63028-4109
(573) 883-4441
(573) 883-4472
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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