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Organization

SAINT LOUIS UNIVERSITY

Active
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Organization

SAINT LOUIS UNIVERSITY

Active
Other names
SLUCARE
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN SEAY (EXECUTIVE DIRECTOR)
(314) 977-6828
Entity
Organization

Contact information

Practice address
3660 VISTA AVE, SAINT LOUIS, MO 63110-2540
(314) 977-6125
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary

Other

Enumeration date
04/24/2007
Last updated
08/22/2020
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