Organization
MIDWEST MEDICAL ASSOCIATES, INC
Active
Parent organization
MIDWEST MEDICAL ASSOCIATES, INC
Other names
Southwest Medical Center - Eye Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST MEDICAL ASSOCIATES, INC
Authorized official
M ROBERT HILL M.D. (MEDICAL DIRECTOR)
(314) 633-8641
Entity
Organization
Contact information
Practice address
7331 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-3256
Mailing address
7345 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-3256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
MO
174400000X
Specialist
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502461700
—
MO
01
—
CH3968
RR MEDICARE
MO
Enumeration date
05/23/2008
Last updated
09/04/2008
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