Organization · Type 2 NPI
Rural Parish Clinic of the Archdiocese of St. Louis
Adult Medicine Physician · Cadet, MO
NPI number
1396210852
Active
Practice location
10120 Crest Road
Cadet, MO 63630-9629
Fax (573) 438-3685
Mailing address
20 Archbishop May Drive
St. Louis, MO 63119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1396210852
Rural Parish Clinic of the Archdiocese of St. Louis's National Provider Identifier is 1396210852, issued on Oct 10, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Cadet, MO. The record was last updated on Nov 10, 2020.