Organization
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
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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