| Affton Medical Clinic | |
|
84 Grasso Plaza St Louis MO 63123 | |
| (314) 638-9309 | |
| (314) 637-9333 |
| Full Name | Affton Medical Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 84 Grasso Plaza, St Louis, Missouri |
| Authorized Official Name and Position | Rubilinda Casino (PRESIDENT) |
| Authorized Official Contact | 3146389309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affton Medical Clinic Po Box 4341 Saint Louis MO 63123-0141 Ph: (314) 638-9309 | Affton Medical Clinic 84 Grasso Plaza St Louis MO 63123 Ph: (314) 638-9309 |
| NPI Number | 1528251337 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528251337 | NPI | - | NPPES |
| 50291440 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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