NPI 1053691709

S&j of South County LLC

Organisation Allergy Physician Saint Louis, MO

Practice location

Address: 11188 Tesson Ferry Rd Suite 101, Saint Louis, MO 63123-6962
Phone: (636) 717-6717
Mailing address: 10 Long Meadows Ln, Saint Louis, MO 63131-3014

Authorised official

Name: Shirley S Joo
Title: Manager
Phone: (314) 302-0736

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 2001009169 (MO)

Other Allergy & Immunology providers in Missouri →

Registry record

NPI: 1053691709
Entity type: Organization
NPI issued: 26 Aug 2011
Record last updated: 15 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.