Organization
WEST END CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADELL CARTER (PRESIDENT)
(314) 381-0560
Entity
Organization
Contact information
Practice address
5736 W FLORISSANT AVE, SAINT LOUIS, MO 63120-2444
(314) 381-0560
(314) 381-0202
Mailing address
5736 W FLORISSANT AVE, SAINT LOUIS, MO 63120-2444
(314) 381-0560
(314) 381-0202
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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