| Missouri Heart Care, Llc | |
|
525 Couch Ave Suite 400 Kirkwood MO 63122-5536 | |
| (314) 984-8860 | |
| Not Available |
| Full Name | Missouri Heart Care, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 525 Couch Ave, Kirkwood, Missouri |
| Authorized Official Name and Position | Jerome Valentine Dwyer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3149848860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Heart Care, Llc 525 Couch Ave Suite 400 Kirkwood MO 63122-5536 Ph: (314) 984-8860 | Missouri Heart Care, Llc 525 Couch Ave Suite 400 Kirkwood MO 63122-5536 Ph: (314) 984-8860 |
| NPI Number | 1417060880 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417060880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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