Organization
LA CLINICA LATINO COMMUNITY HEALTH CENTERS
Active
Other names
La Clinica
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. CAMPBELL M.D., M.ED. (MEDICAL DIRECTOR)
(314) 664-5565
Entity
Organization
Contact information
Practice address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 664-5565
(314) 773-0709
Mailing address
3646 FAIRVIEW AVE, SAINT LOUIS, MO 63116-4747
(314) 664-5565
(314) 773-0709
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
R1H15
MO
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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