Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Other names
Urogynecology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE HINKLE (EXECUTIVE DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
12700 SOUTHFORK RD, STE 255, SAINT LOUIS, MO 63128-3201
(314) 525-1800
Mailing address
10012 KENNERLY RD, STE 403, SAINT LOUIS, MO 63128-2197
(314) 525-1800
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
06/18/2012
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