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Organization

ST JOHNS MERCY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY ELLEN MANKOFSKY RD, LD (CLINICAL DIETITIAN)
(314) 251-8882
Entity
Organization

Contact information

Practice address
12680 OLIVE BLVD, SAINT LOUIS, MO 63141-6322
(314) 251-8882
Mailing address
12680 OLIVE BLVD, SAINT LOUIS, MO 63141-6322

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2001010699
MO

Other

Enumeration date
03/15/2007
Last updated
08/22/2020
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