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Hinton Healthcare Group

Internal Medicine in Lake St Louis, MO. Organization (NPI-2).

NPI number1760626147
StatusActive
Last updated in NPPESApr 29, 2009

Details

NPI
1760626147
Entity type
Organization (NPI-2)
Legal business name
Hinton Healthcare Group
Organization subpart
No
Enumeration date
Apr 29, 2009
Last updated
Apr 29, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2006003131MOYes
208000000X Pediatrics2006003131MO

Practice location

300 Medical Plz
Suite 230
Lake St Louis, MO 63367-1481

Phone 636-625-1111 · Fax 636-625-8566

Mailing address

17204 Lafayette Trails Dr
Wildwood, MO 63038-1386

Phone 636-898-1082 · Fax 636-625-8566

Authorized official

Paul Anthony Hinton
President
3143699061

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