| Rezilient Olh PA | |
|
7923 Forsyth Blvd Clayton MO 63105-3808 | |
| (314) 912-4234 | |
| (314) 887-5157 |
| Full Name | Rezilient Olh PA |
|---|---|
| Speciality | General Practice |
| Location | 7923 Forsyth Blvd, Clayton, Missouri |
| Authorized Official Name and Position | Callista Fink (CARE OPERATIONS COORDINATOR) |
| Authorized Official Contact | 3143288331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rezilient Olh PA 5595 Pershing Ave Saint Louis MO 63112-1703 Ph: (314) 912-4234 | Rezilient Olh PA 7923 Forsyth Blvd Clayton MO 63105-3808 Ph: (314) 912-4234 |
| NPI Number | 1346820123 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346820123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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