Organization
LUNG & SLEEP MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M MASI M.D. (PRESIDENT/PHYSICIAN)
(314) 821-1222
Entity
Organization
Contact information
Practice address
13975 MANCHESTER RD, SUITE 7, MANCHESTER, MO 63011-4500
(314) 821-1222
(314) 754-9889
Mailing address
PO BOX 66971, SAINT LOUIS, MO 63166-6971
(314) 821-1222
(314) 754-9889
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R3P21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21754925801
—
IL
05
—
506120005
—
MO
01
—
DO2796
RAILROAD MEDICARE
MO
Enumeration date
10/02/2007
Last updated
01/06/2010
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