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Organization · Clinic/Center · O'Fallon, MO

NPI
1952853889
Type
Organization (Type 2)
Primary specialty
Clinic/Center
Specialty group
Ambulatory Health Care Facilities
Taxonomy code
261Q00000X
License number
2005029371 (MO)
Enumerated
2016-10-26
Last updated
2024-07-28
Practice location
4201 Highway K
O'Fallon, MO 63368-8230
(314) 961-2255

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