Organization
ADVANCED UROLOGY ASSOCIATES, LLC
Active
Other names
Accent Urology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H STILL III D.O. (PRESIDENT)
(314) 966-4992
Entity
Organization
Contact information
Practice address
2355 DOUGHERTY FERRY RD, SUITE 410, SAINT LOUIS, MO 63122-3325
(314) 966-4992
(314) 966-4511
Mailing address
PO BOX 952853, SAINT LOUIS, MO 63195-0001
(314) 966-4992
(314) 966-4511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R9826
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502184401
—
MO
01
—
DG3173
MEDICARE RAILROAD
MO
Enumeration date
03/23/2007
Last updated
11/11/2009
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