Organization · Type 2 NPI

S&j of South County LLC

Allergy Physician · St. Louis, MO

NPI number 1053691709 Active

Practice location

11188 Tesson Ferry Rd, Suite 101
St. Louis, MO 63123-6962

Call (636) 717-6717 Map

Mailing address

10 Long Meadows Ln
St. Louis, MO 63131-3014

Specialties and licenses

TaxonomyCodeLicense
Allergy Physician Primary 207KA0200X2001009169 (MO)

Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.

2 other providers at this address

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About NPI 1053691709

S&j of South County LLC's National Provider Identifier is 1053691709, issued on Aug 26, 2011. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in St. Louis, MO. The record was last updated on Dec 15, 2014.