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BALLAS CANCER CENTER LLC NPI 1457343634


NPI Information

NPI: 1457343634
Provider Name: BALLAS CANCER CENTER, LLC

Doing Business As: ST LOUIS CANCER & BREAST INSTITUTE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
450 N NEW BALLAS RD
SUITE 270
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 989-1300
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BALLAS CANCER CENTER, LLC is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BALLAS CANCER CENTER, LLC NPI is 1457343634. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Louis Cancer & Breast Institute.

The provider's business location address is:

450 N NEW BALLAS RD
SUITE 270
SAINT LOUIS, MO
ZIP 63141-835
Phone: (314) 989-1300

The provider's authorized official is Rachel A Borson .
The authorized official title is Executive Manager and has the following contact phone number (314) 989-1300.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistR5P45MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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