Slucare Dept Of Internal Medicine-infectious Disease | |
1225 South Grand, 2l, Door 3 St Louis MO 63104 | |
(314) 977-9050 | |
Not Available |
Full Name | Slucare Dept Of Internal Medicine-infectious Disease |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 1225 South Grand, 2l, Door 3, St Louis, Missouri |
Authorized Official Name and Position | Alyce Lanxon (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3149776828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Slucare Dept Of Internal Medicine-infectious Disease 3545 Lindell Blvd Fl 3 Saint Louis MO 63103-1020 Ph: (314) 977-6828 | Slucare Dept Of Internal Medicine-infectious Disease 1225 South Grand, 2l, Door 3 St Louis MO 63104 Ph: (314) 977-9050 |
NPI Number | 1609094903 |
---|---|
Provider Enumeration Date | 04/23/2007 |
Last Update Date | 09/21/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609094903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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Slucare Department Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 South Grand, 2l, Door 3,4, St Louis, MO 63104 Phone: 314-977-6164 | |
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