Organization · Type 2 NPI

ST Louis University

Hematology & Oncology Physician · St. Louis, MO

NPI number 1649498932 Active

Practice location

3655 Vista Ave
St. Louis, MO 63110-2539

Call (314) 577-6056 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

41 other providers at this address

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NPI record

NPI: 1649498932
Entity type: Organization (Type 2)
Issued: Apr 23, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Internal Medicine-Hematology Oncology · doing business as
Slucare Dept of Internal Medicine-Hematology Oncology · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1649498932

ST Louis University's National Provider Identifier is 1649498932, issued on Apr 23, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.