| Mound City Inpatient Services, Llc | |
|
2345 Dougherty Ferry Road St. Louis MO 63122 | |
| (314) 966-9100 | |
| Not Available |
| Full Name | Mound City Inpatient Services, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 2345 Dougherty Ferry Road, St. Louis, Missouri |
| Authorized Official Name and Position | Joseph H. Gatewood (PRESIDENT / OWNER) |
| Authorized Official Contact | 2147122472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mound City Inpatient Services, Llc 1717 Main Street Suite 5200 Dallas TX 75201-7365 Ph: (214) 712-2000 | Mound City Inpatient Services, Llc 2345 Dougherty Ferry Road St. Louis MO 63122 Ph: (314) 966-9100 |
| NPI Number | 1265744387 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265744387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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