Mbs Advantage Inc

NPI 1083612253 - General Practice - 208D00000X

NPI Details
NPI 1083612253
Enumeration Date 07/12/2005
Last Updated 03/11/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JEAN L JEAN
Position PRESIDENT
Phone (314) 842-1900
Fax (314) 842-9185
Practice Location
11618 GRAVOIS RD
SAINT LOUIS MO, 63126-3014, US
Phone (314) 842-1900
Fax (314) 842-9185
Business Location
11618 GRAVOIS RD
SAINT LOUIS MO, 63126-3014, US
Phone (314) 842-1900
Fax (314) 842-9185
Toxanomy
Taxonomy Code 208D00000X
License State Illinois
License Number 207927
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According to our database, Mbs Advantage Inc NPI is 1083612253, taxonomy code is 208D00000X and license number is 207927, license state is located at Illinois. Mbs Advantage Inc physically located at 11618 Gravois Rd, Saint Louis MO, 63126-3014. NPI Number 1033115704 has the healthcare provider type.

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1083612253 NPI number is provided on an as is basis without warranty of any kind. 1083612253 is maintained by the National Plan & Provider Enumeration System. The contents of Mbs Advantage Inc are for informational purposes only.