Organization
MIDWEST MEDICAL ASSOCIATES INC.
Active
Parent organization
MIDWEST MEDICAL ASSOCIATES
Other names
Southwest Medical Center - Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST MEDICAL ASSOCIATES
Authorized official
PATRICK F GARRETT M.D. (MEDICAL DIRECTOR)
(314) 633-8641
Entity
Organization
Contact information
Practice address
7345 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-7225
Mailing address
7345 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 752-7100
(314) 752-7225
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH3968
RR MEDICARE
MO
Enumeration date
06/20/2006
Last updated
03/25/2008
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