Wusm Bjc Aco Providers

NPI 1003233230 - Clinic/Center - 261QM1300X

NPI Details
NPI 1003233230
Enumeration Date 03/26/2014
Last Updated 03/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CATHY CATHY
Position DIRECTOR, CREDENTIALING OPERATIONS
Phone (314) 273-0770
Fax
Practice Location
660 S EUCLID AVE
CAMPUS BOX 8081
SAINT LOUIS MO, 63110-1010, US
Phone (314) 273-0770
Fax
Business Location
660 S EUCLID AVE
CAMPUS BOX 8081
SAINT LOUIS MO, 63110-1010, US
Phone (314) 273-0770
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
Remove 1003233230 NPI Number
 

According to our database, Wusm Bjc Aco Providers NPI is 1003233230, taxonomy code is 261QM1300X Wusm Bjc Aco Providers physically located at 660 S Euclid Ave, Saint Louis MO, 63110-1010. NPI Number 1033115704 has the healthcare provider type.

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1003233230 NPI number is provided on an as is basis without warranty of any kind. 1003233230 is maintained by the National Plan & Provider Enumeration System. The contents of Wusm Bjc Aco Providers are for informational purposes only.