Organization
MISSOURI HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSLAN NURUSHEV (OWNER)
(312) 533-5464
Entity
Organization
Contact information
Practice address
2901 UNION RD, STE 250 B, SAINT LOUIS, MO 63125-3972
(312) 533-5464
Mailing address
2901 UNION RD, STE 250 B, SAINT LOUIS, MO 63125-3972
(312) 533-5464
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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