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Organization

TAKE CARE HEALTH MISSOURI, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA CALLAHAN (NP)
(484) 351-3004
Entity
Organization

Contact information

Practice address
12098 LUSHER RD, SAINT LOUIS, MO 63138-1302
(314) 355-0500
Mailing address
12098 LUSHER RD, SAINT LOUIS, MO 63138-1302

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
2013040389
MO
261QP2300X
Primary Care Clinic/Center
Primary
2013040389
MO

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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