Organization · Type 2 NPI

Family Medicine of South City, LLC

Clinic/Center · St. Louis, MO

NPI number 1609976752 Active

Practice location

3915 Watson Rd, Ste 203
St. Louis, MO 63109-1251

Call (314) 644-4410 Map

Fax (314) 646-0054

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

24 other providers at this address

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About NPI 1609976752

Family Medicine of South City, LLC's National Provider Identifier is 1609976752, issued on Sep 25, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 4, 2010.