Organization
WEIGHT LOSS CLINIC, LLC
Active
Other names
Advanced Weight Loss Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA LEE ANN CASSIDY (MANAGER)
(573) 336-8746
Entity
Organization
Contact information
Practice address
555 MARSHALL DR, SAINT ROBERT, MO 65584-5601
(573) 336-8746
(573) 336-8391
Mailing address
555 MARSHALL DR, SAINT ROBERT, MO 65584-5601
(573) 336-8746
(573) 336-8391
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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