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Laquette Anderson Medcalf
Military Health Care Provider in Saint Louis, Missouri
NPI 1194316109

Laquette Anderson Medcalf is a Military Health Care Provider based in Saint Louis, MO. Laquette Anderson Medcalf practices in Saint Louis, MO. The NPI Number for Laquette Anderson Medcalf is 1194316109 and holds a License No. (Missouri).

The current practice location address for Laquette Anderson Medcalf is 3209 Maybelle Dr, Saint Louis, MO and can be reached out via phone at 314-536-6991.

Location: 3209 Maybelle Dr, Saint Louis, MO, 63121-4119
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Provider Profile Details
NPI Number
1194316109
Provider Name
Laquette Anderson Medcalf
Credential
Provider Entity Type
Individual
Gender
Female
Address
3209 Maybelle Dr, Saint Louis, MO, 63121-4119
Phone Number
314-536-6991
Fax Number
Provider Enumeration Date
02/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3209 Maybelle Dr
City
State
Zip
63121-4119
Phone Number
314-536-6991
Fax Number
person
Provider Business Mailing Address Details
Address
3209 Maybelle Dr
City
State
Zip
63121-4119
Phone Number
314-536-6991
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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