Organization
NEUROLOGY ASSOCIATES, INC.
Active
Other names
Neurology Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL A FABER M.D. (PRESIDENT)
(314) 725-2010
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, SUITE 102B, SAINT LOUIS, MO 63131-2322
(314) 725-2010
(314) 725-0709
Mailing address
3009 N BALLAS RD, SUITE 102B, SAINT LOUIS, MO 63131-2322
(314) 725-2010
(314) 725-0709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11629
ESSENCE
MO
05
—
508269107
—
MO
01
—
9522186
BCBS
IL
Enumeration date
10/05/2005
Last updated
06/28/2010
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