Organization
SSM ST. JOSEPH HEALTH CENTER
Active
Other names
The Imaging Center at St. Joseph Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
SHERLYN HAILSTONE (PRESIDENT)
(636) 947-5076
Entity
Organization
Contact information
Practice address
1475 KISKER RD, SAINT CHARLES, MO 63304-8781
(636) 498-7400
(636) 498-7420
Mailing address
1836 LACKLAND HILL PKWY, ATTN CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(636) 498-7420
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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