Organization
ST LOUIS PET CENTERS, LLC
Active
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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