institution
S&j Of South County Llc
Allergy Physician in Saint Louis, Missouri
NPI 1053691709

S&j Of South County Llc is an Allergy Physician based in Saint Louis, MO and is specialized in Allergy. S&j Of South County Llc practices in Saint Louis, MO. The NPI Number for S&j Of South County Llc is 1053691709 and holds a License No. 2001009169 (Missouri).

The current practice location address for S&j Of South County Llc is 11188 Tesson Ferry Rd, Saint Louis, MO and can be reached out via phone at 636-717-6717.

Location: 11188 Tesson Ferry Rd, Saint Louis, MO, 63131-3014
institution
Provider Profile Details
NPI Number
1053691709
Provider Name
S&j Of South County Llc
Credential
Provider Entity Type
Organization
Address
11188 Tesson Ferry Rd, Saint Louis, MO, 63131-3014
Phone Number
636-717-6717
Fax Number
Provider Enumeration Date
08/26/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144262825 01 NPI
institution
Provider Business Practice Location Address Details
Address
11188 Tesson Ferry Rd
City
State
Zip
63123-6962
Phone Number
636-717-6717
Fax Number
person
Provider Business Mailing Address Details
Address
11188 Tesson Ferry Rd
City
State
Zip
63123-6962
Phone Number
636-717-6717
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
2001009169 (Missouri)
Definition
Definition to come...
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