Organization · Type 2 NPI

ST Anthony's Physician Organization Private Practices LC

Gynecology Physician · St. Louis, MO

NPI number 1679735302 Active

Practice location

12700 Southfork Rd, Ste 255
St. Louis, MO 63128-3201

Mailing address

10012 Kennerly Rd, Ste 403
St. Louis, MO 63128-2197

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XNone listed

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

45 other providers at this address

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About NPI 1679735302

ST Anthony's Physician Organization Private Practices LC's National Provider Identifier is 1679735302, issued on Jun 25, 2008. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in St. Louis, MO. The record was last updated on Jun 18, 2012.