| St Louis University | |
|
1225 South Grand, 2l, Door 3,4 St Louis MO 63104 | |
| (314) 257-3760 | |
| Not Available |
| Full Name | St Louis University |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1225 South Grand, 2l, Door 3,4, 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 |
|---|---|
| St Louis University 3545 Lindell Blvd Fl 3 Saint Louis MO 63103-1020 Ph: (314) 977-6828 | St Louis University 1225 South Grand, 2l, Door 3,4 St Louis MO 63104 Ph: (314) 257-3760 |
| NPI Number | 1659597664 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659597664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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