Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI # | 1679797237 |
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| LBN Legal business name | SAINT LOUIS CONNECTCARE | ||||
| Authorized official | TERRI DEHNE - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/12/2007 | ||||
| Last updated | 06/20/2008 - About 18 years ago | ||||
| Identifiers |
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