Organization
ST. LOUIS MEDICAL REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED SYED ALI MD (PRESIDENT)
(314) 736-1333
Entity
Organization
Contact information
Practice address
1025 DUNN RD, FLORISSANT, MO 63031-8205
(314) 736-1333
(314) 736-1336
Mailing address
PO BOX 78489, SAINT LOUIS, MO 63178-8489
(314) 736-1333
(314) 736-1336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
MO
208100000X
Physical Medicine & Rehabilitation Physician
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
Other
Enumeration date
09/01/2015
Last updated
03/24/2016
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