Organization
STAN L LONDON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY L. LONDON MD (OWNER)
(314) 569-2294
Entity
Organization
Contact information
Practice address
1040 N MASON RD, STE G03, SAINT LOUIS, MO 63141-6399
(314) 878-7899
(314) 205-1020
Mailing address
1836 LACKLAND HILL PKWY, ATTNT: CREDENTIALING DEPT, SAINT LOUIS, MO 63146-3572
(314) 989-0300
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24858
MO
Other
Enumeration date
08/09/2006
Last updated
05/27/2010
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