Organization
ST LOUIS MEDICAL REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED ALI M.D. (CEO)
(314) 443-8667
Entity
Organization
Contact information
Practice address
8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
(314) 443-8667
Mailing address
8045 BIG BEND BLVD, SUITE 201, WEBSTER GROVES, MO 63119-2714
(314) 443-8667
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301089175
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301089175
MI
Other
Enumeration date
06/09/2011
Last updated
08/05/2011
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