E. SUTPHEN MD LLC

SAINT LOUIS, MO
NPI1144291659
Entity TypeOrganization
Authorized ContactERIC SUTPHEN
Delegated Official
314-525-1688
Organization Subpart ?No
Primary Taxonomy2085R0001X 
(Licence: MO  R2P24)
Enumeration Date2006-02-01
Last Update Date2009-06-10
Business Address
E. SUTPHEN MD LLC
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1688
Mailing Address
E. SUTPHEN MD LLC
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 314-525-1688
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