NPI 1639456064

Susan K Boyer, MD LLC

Organisation Exclusive Provider Organization Saint Louis, MO

Practice location

Address: 9890 Clayton Rd Suite 100, Saint Louis, MO 63124-1685
Phone: (314) 725-1515
Fax: (314) 222-6321

Authorised official

Name: Susan Boyer
Title: Psychiatrist
Phone: (314) 725-1515

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 103713 (MO)

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1639456064
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 13 Feb 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.