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Contact Information

ST. JOHN'S MERCY SUPPORT SERVICES
300 WINDING WOODS DR
SUITE 112
O'FALLON, MO63366-4771
 Phone: 636-379-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ST JOHNS MERCY SUPPORT SERVICES · (Female)

NPI # 1568570620
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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