Adderley Medical Group, L.l.c.

NPI 1134433659 - General Practice - 208D00000X

NPI Details
NPI 1134433659
Enumeration Date 07/27/2010
Last Updated 07/27/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK FLOYD MARK
Position MEMBER
Phone (314) 614-9759
Fax
Practice Location
3003 WOODBRIDGE CREEK DR
SAINT LOUIS MO, 63129-6414, US
Phone (314) 614-9759
Fax
Business Location
3003 WOODBRIDGE CREEK DR
SAINT LOUIS MO, 63129-6414, US
Phone (314) 614-9759
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Missouri
License Number 2007032281
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According to our database, Adderley Medical Group, L.l.c. NPI is 1134433659, taxonomy code is 208D00000X and license number is 2007032281, license state is located at Missouri. Adderley Medical Group, L.l.c. physically located at 3003 Woodbridge Creek Dr, Saint Louis MO, 63129-6414. NPI Number 1033115704 has the healthcare provider type.

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1134433659 NPI number is provided on an as is basis without warranty of any kind. 1134433659 is maintained by the National Plan & Provider Enumeration System. The contents of Adderley Medical Group, L.l.c. are for informational purposes only.