| Agm Iop/php, LLC | |
|
10199 Woodfield Ln Olivette MO 63132-2922 | |
| (314) 282-2517 | |
| (314) 845-2798 |
| Full Name | Agm Iop/php, LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10199 Woodfield Ln, Olivette, Missouri |
| Authorized Official Name and Position | Franco Sicuro (OWNER) |
| Authorized Official Contact | 3142220602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agm Iop/php, LLC 10199 Woodfield Ln Olivette MO 63132-2922 Ph: (314) 222-0602 | Agm Iop/php, LLC 10199 Woodfield Ln Olivette MO 63132-2922 Ph: (314) 282-2517 |
| NPI Number | 1346630803 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346630803 | NPI | - | NPPES |
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