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1104870021
MARYLAND MEDICAL GROUP LTD
SAINT LOUIS, MO
NPI
1104870021
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Entity Type
Organization
Authorized Contact
WILLIAM G BOWEN
President
314-367-3113
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-05-22
Last Update Date
2008-10-01
Business Address
MARYLAND MEDICAL GROUP LTD
1110 HIGHLANDS PLAZA DRIVE EAST SUITE 375
SAINT LOUIS, MO 63110-1340
Phone number: 314-367-3113
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Mailing Address
MARYLAND MEDICAL GROUP LTD
1110 HIGHLANDS PLAZA DR E SUITE 375
SAINT LOUIS, MO 63110-1340
Phone number: 314-367-3113
Copy
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