MERCY CLINIC GYN ONCOLOGY LLC NPI 1669671541

NPI Information

MERCY CLINIC GYN ONCOLOGY, LLC is a gynecologic oncology obstetrics gynecology in Saint Louis, MO. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. MERCY CLINIC GYN ONCOLOGY, LLC NPI is 1669671541. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mercy Gyn Oncology.

The provider's business location address is:

607 S NEW BALLAS RD
SUITE 2350
SAINT LOUIS, MO
ZIP 63141-219
Phone: (314) 251-4260
Fax: (314) 251-4261

The provider's authorized official is John W. Hubert .
The authorized official title is President and has the following contact phone number (314) 251-1700.

The CLIA number assigned to this NPI record is 26D2007727 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 5/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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