Organization
ST MARY'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOREY GARDNER (PROGRAM DIRECTOR INTERNAL MEDICINE)
(314) 768-8778
Entity
Organization
Contact information
Practice address
6420 CLAYTON RD, ST MARY'S HEALTH CENTER, SAINT LOUIS, MO 63117-1811
(314) 768-8778
Mailing address
4571 GIBSON AVE, SAINT LOUIS, MO 63110-1519
(314) 534-6303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009006291
MO
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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