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
2900 LEMAY FERRY RD, SUITE 216, SAINT LOUIS, MO 63125-3900
(314) 543-5988
(314) 416-8547
Mailing address
2900 LEMAY FERRY RD, SUITE 216, SAINT LOUIS, MO 63125-3900
(314) 543-5988
(314) 416-8547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508637709
—
MO
Enumeration date
05/18/2006
Last updated
01/04/2019
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