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Organization

ST. ANTHONY'S PHYSICIAN ORGANIZATION

Active
Other names
Mercy Clinic South Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHERYL MATEJKA (CFO EAST COMMUNITIES & SFO)
(314) 251-1958
Entity
Organization

Contact information

Practice address
12700 SOUTHFORK RD, SUITE 255, SAINT LOUIS, MO 63128-3201
(314) 525-1545
(314) 525-1685
Mailing address
12700 SOUTHFORK RD, SUITE 255, SAINT LOUIS, MO 63128-3201
(314) 525-1545
(314) 525-1685

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
01/17/2014
Last updated
01/04/2019
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