Organization
KIRKWOOD MEDICAL GROUP LLC
Active
Organization
KIRKWOOD MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LEA FISCHER (OFFICE MANAGER)
(314) 698-2500
Entity
Organization
Contact information
Practice address
3844 S LINDBERGH BLVD, SUITE 160, SAINT LOUIS, MO 63127-1368
(314) 698-2500
(314) 698-2323
Mailing address
3844 S LINDBERGH BLVD, SUITE 160, SAINT LOUIS, MO 63127-1368
(314) 698-2500
(314) 698-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
01/18/2007
Last updated
07/30/2007
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