NPI 1083612253

Mbs Advantage INC

Organisation General Practice Physician Saint Louis, MO

Practice location

Address: 11618 Gravois Rd, Saint Louis, MO 63126-3014
Phone: (314) 842-1900
Fax: (314) 842-9185

Authorised official

Name: Jean L Foster
Title: President
Phone: (314) 842-1900

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 000014833 (MO)

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Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 102623 (MO)

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 146004057 (IL)

Registry record

NPI: 1083612253
Entity type: Organization
NPI issued: 12 Jul 2005
Record last updated: 11 Mar 2012

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.