Organization
OPENSIDED MRI OF ST LOUIS II
Active
Parent organization
GREATER MISSOURI IMAGING, LLC
Other names
Greater Missouri Imaging, LLC, Greater Missouri Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER MISSOURI IMAGING, LLC
Authorized official
MATTHEW RUYLE MD (PRESIDENT)
(314) 514-0167
Entity
Organization
Contact information
Practice address
12101 OLIVE BLVD, CREVE COEUR, MO 63141-6628
(314) 514-0167
Mailing address
PO BOX 66726, SAINT LOUIS, MO 63166-6726
(314) 514-0167
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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