| St Gabriel Clinic Cdm | |
|
6115 Ridge Ave Saint Louis MO 63133-2616 | |
| (314) 230-9050 | |
| (844) 870-7109 |
| Full Name | St Gabriel Clinic Cdm |
|---|---|
| Speciality | Clinic/center |
| Location | 6115 Ridge Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Daniel Desta Bekele (OWNER) |
| Authorized Official Contact | 7202356443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Gabriel Clinic Cdm 6115 Ridge Ave Saint Louis MO 63133-2616 Ph: (314) 230-9050 | St Gabriel Clinic Cdm 6115 Ridge Ave Saint Louis MO 63133-2616 Ph: (314) 230-9050 |
| NPI Number | 1144094087 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144094087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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