St Louis University
Internal Medicine in St Louis, MO. Organization (NPI-2).
NPI number1013980366
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1013980366
- Entity type
- Organization (NPI-2)
- Legal business name
- St Louis University
- Organization subpart
- No
- Enumeration date
- Feb 8, 2006
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 2085N0904X | – | – |
Other names
- Slucare Department Of Internal Medicine (Doing Business As)
Practice location
1225 South Grand2l, Door 3,4
St Louis, MO 63104
Phone 314-977-6164
Mailing address
3545 Lindell Blvd Fl 3Saint Louis, MO 63103-1020
Phone 314-977-6828 · Fax 314-977-6872
Other practice locations
3660 Vista Ave
St Louis, MO 63110
St Louis, MO 63110
Phone 314-977-6828 · Fax 314-268-5108
Authorized official
Alyce Lanxon
Executive Director
3149776828
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