| Mercy Clinic South Physicians | |
|
12700 Souhtfork Road Suite 200 Saint Louis MO 63128-2106 | |
| (314) 525-4971 | |
| (314) 525-4521 |
| Full Name | Mercy Clinic South Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 12700 Souhtfork Road, Saint Louis, Missouri |
| Authorized Official Name and Position | Cheryl Matejka (CFO EAST COMMUNITIES & SFO) |
| Authorized Official Contact | 3142511958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic South Physicians 12700 Souhtfork Road Suite 200 Saint Louis MO 63128-2106 Ph: (314) 525-4971 | Mercy Clinic South Physicians 12700 Souhtfork Road Suite 200 Saint Louis MO 63128-2106 Ph: (314) 525-4971 |
| NPI Number | 1396065041 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396065041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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