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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1396210852 |
| LBN Legal business name | RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS |
| Authorized official | PATRICK BIRA - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/10/2018 |
| Last updated | 11/10/2020 - About 6 years ago |
| Identifiers | n/a |
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RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS