Organization · Type 2 NPI

Mia of ST Charles County LLC

Clinic/Center · St. Charles, MO

NPI number 1922093632 Active

Practice location

1475 Kisker Rd, Ste 145
St. Charles, MO 63304-8781

Call (636) 922-5151 Map

Fax (636) 922-5454

Mailing address

PO Box 868
Edwardsville, IL 62025-0868

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).

40 other providers at this address

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About NPI 1922093632

Mia of ST Charles County LLC's National Provider Identifier is 1922093632, issued on Sep 19, 2005. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Charles, MO. The record was last updated on Aug 22, 2020.