Organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Active
Parent organization
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Other names
New Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Authorized official
MR. DAVE HINKLE (EXECUTIVE DIRECTOR)
(314) 543-5903
Entity
Organization
Contact information
Practice address
12700 SOUTHFORK RD, STE. 255, SAINT LOUIS, MO 63128-3201
(314) 525-1800
Mailing address
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128-3201
(314) 525-1800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
08/24/2009
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