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Organization

ST LOUIS PET CENTERS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL G BEAT MD (PRESIDENT)
(314) 628-1300
Entity
Organization

Contact information

Practice address
12637 OLIVE BLVD, CREVE COEUR, MO 63141-6313
(314) 628-1300
(314) 628-1301
Mailing address
12637 OLIVE BLVD, CREVE COEUR, MO 63141-6313
(314) 628-1300
(314) 628-1301

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183981
BCBS MO
01
276582
USA MCO
01
532846
HEALTHLINK
01
7995486
AETNA
01
889182
MERCY CARE PLUS
Enumeration date
01/02/2006
Last updated
04/20/2008
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