Organization
RESTORE CENTER FOR ENDOMETRIOSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE GRIFFARD (BUSINESS MANAGER)
(636) 209-2360
Entity
Organization
Contact information
Practice address
12812 TESSON FERRY RD, SAINT LOUIS, MO 63128-2913
(314) 970-1040
(314) 970-1042
Mailing address
12812 TESSON FERRY RD, SAINT LOUIS, MO 63128-2913
(314) 970-1040
(314) 970-1042
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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