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Organization

SUBURBAN OB GYN LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB KLEIN MD (PRESIDENT)
(314) 569-2424
Entity
Organization

Contact information

Practice address
3009 N BALLAS ROAD, SUITE 366C, ST LOUIS, MO 63131
(314) 569-2424
(314) 569-2158
Mailing address
3009 N BALLAS ROAD, SUITE 366C, ST LOUIS, MO 63131
(314) 569-2424
(314) 569-2158

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
11/28/2006
Last updated
07/22/2010
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