Organization
MO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREENU ADA MD (CO-OWNER)
(636) 333-4500
Entity
Organization
Contact information
Practice address
2331 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(636) 333-4500
Mailing address
630 PALISADES VIEW DR, EUREKA, MO 63025-3702
(636) 333-4500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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