NPI 1114113388

St. Anthony's Physician Organization Private Practices Lc

Organisation Surgery Physician Saint Louis, MO

Practice location

Address: 10004 Kennerly Rd STE 292b, Saint Louis, MO 63128-2141
Phone: (314) 525-1224
Fax: (314) 525-4957

Authorised official

Name: Dave Hinkle
Title: Executive Director
Phone: (314) 543-5903

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Missouri →

Registry record

NPI: 1114113388
Entity type: Organization
NPI issued: 20 Sep 2007
Record last updated: 3 Aug 2010

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.