NPI: 1053479188
Provider Name: MERCY CLINIC NEUROLOGY, LLC
Former Legal Business Name: MERCY NEUROLOGY, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization
Specialization: Neurology
Address:
621 S NEW BALLAS RD
SUITE 6005-B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6075
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MERCY CLINIC NEUROLOGY, LLC is a neurology psychiatry neurology in Saint Louis, MO. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MERCY CLINIC NEUROLOGY, LLC NPI is 1053479188. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mercy Neurology, Llc.
The provider's business location address is:
621 S NEW BALLAS RD
SUITE 6005-B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-6075
Fax: (314) 251-6634
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 enumeration date for this NPI number is 12/4/2006 and was last updated on 3/4/2016.