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Organization

WELLHEALTH GROUP, LLC

Active
Other names
WellHealth Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOON-TZIAN LO MD (DIRECTOR)
(314) 925-7525
Entity
Organization

Contact information

Practice address
916 OLIVE ST, SUITE 0304, SAINT LOUIS, MO 63101-1459
(314) 925-7525
(314) 925-7525
Mailing address
6614 CLAYTON RD, SUITE 133, SAINT LOUIS, MO 63117-1602
(314) 925-7525
(314) 925-7525

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1999137880
MO

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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