Organization
SEPM MISSOURI SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL DABBS MD (PRESIDENT)
(865) 293-5210
Entity
Organization
Contact information
Practice address
11133 DUNN RD, SAINT LOUIS, MO 63136-6163
(314) 653-5000
Mailing address
PO BOX 638694, CINCINNATI, OH 45263-8694
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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