| NPI Details | |
|---|---|
| NPI | 1194755058 |
| Enumeration Date | 07/04/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | JOHN W JOHN |
| Position | PRESIDENT |
| Phone | (314) 961-0110 |
| Fax | (314) 961-0529 |
| Practice Location | |
|---|---|
| 2530 S BRENTWOOD BLVD SAINT LOUIS MO, 63144-2309, US |
|
| Phone | (314) 961-0110 |
| Fax | (314) 961-0529 |
| Business Location | |
|---|---|
| 2530 S BRENTWOOD BLVD SAINT LOUIS MO, 63144-2309, US |
|
| Phone | (314) 961-0110 |
| Fax | (314) 961-0529 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | |
| License Number | |
| Remove 1194755058 NPI Number | |
According to our database, Seliga Shoe Stores Inc NPI is 1194755058, taxonomy code is 332B00000X Seliga Shoe Stores Inc physically located at 2530 S Brentwood Blvd, Saint Louis MO, 63144-2309. NPI Number 1033115704 has the healthcare provider type.
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1194755058 NPI number is provided on an as is basis without warranty of any kind. 1194755058 is maintained by the National Plan & Provider Enumeration System. The contents of Seliga Shoe Stores Inc are for informational purposes only.
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