Organization
MITHEN NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FANCIS ANDREW MITHEN MD (OWNER)
(314) 308-7991
Entity
Organization
Contact information
Practice address
3933 S BROADWAY, SAINT LOUIS, MO 63118-4601
(314) 308-7991
(314) 462-0661
Mailing address
4579 LACLEDE AVE # 377, SAINT LOUIS, MO 63108-2103
(314) 308-7991
(314) 462-0661
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R6152
MO
Other
Enumeration date
06/27/2018
Last updated
07/30/2019
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