| Slucare Department Of Internal Medicine | |
|
1225 South Grand 2l, Door 3,4 St Louis MO 63104 | |
| (314) 977-6164 | |
| Not Available |
| Full Name | Slucare Department Of Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1225 South Grand, St Louis, Missouri |
| Authorized Official Name and Position | Alyce Lanxon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3149776828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slucare Department Of Internal Medicine 3545 Lindell Blvd Fl 3 Saint Louis MO 63103-1020 Ph: (314) 977-6828 | Slucare Department Of Internal Medicine 1225 South Grand 2l, Door 3,4 St Louis MO 63104 Ph: (314) 977-6164 |
| NPI Number | 1013980366 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013980366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2085N0904X | Radiology - Nuclear Radiology | (* (Not Available)) | Secondary |
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