Organization
THE DOCTOR'S OFFICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL K WON MD (PRESIDENT)
(314) 352-7003
Entity
Organization
Contact information
Practice address
6500 LANSDOWNE AVE, SAINT LOUIS, MO 63109-2654
(314) 352-7003
Mailing address
6500 LANSDOWNE AVE, SAINT LOUIS, MO 63109-2654
(314) 352-7003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
R6B25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201567013
—
MO
Enumeration date
03/15/2007
Last updated
06/23/2008
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