Organization · NPI-2

Aesthetic Medical Associates, LLC

Family Medicine · Saint Louis, MO

NPI number1205977857
StatusActive
Last updated in NPPESApr 2, 2008

Details

NPI
1205977857
Entity type
Organization (NPI-2)
Legal business name
Aesthetic Medical Associates, LLC
Organization subpart
No
Enumeration date
Feb 8, 2007
Last updated
Apr 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108-3254

Phone 314-652-8923 · Fax 314-652-8925

Mailing address

3920 Lindell Blvd
Ste 105
Saint Louis, MO 63108-3254

Phone 314-652-8923 · Fax 314-652-8925

Authorized official

Melissa L Hollie
President
3146528923

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