Organization
SOUTH COUNTY COMPREHENSIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARINA T PHATAK M.D. (PHYSICIAN)
(314) 458-7403
Entity
Organization
Contact information
Practice address
9911 KENNERLY RD STE C, SAINT LOUIS, MO 63128-2700
(314) 458-7403
Mailing address
9911 KENNERLY RD STE C, SAINT LOUIS, MO 63128-2700
(314) 458-7403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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