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1194125195
WEST COUNTY INFECTIOUS DISEASE, LLC
SAINT LOUIS, MO
NPI
1194125195
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Entity Type
Organization
Authorized Contact
POLLY K DAVID
Owner
314-477-9827
Organization Subpart ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
Enumeration Date
2014-08-26
Last Update Date
2023-01-06
Business Address
WEST COUNTY INFECTIOUS DISEASE, LLC
10004 KENNERLY RD STE 392
SAINT LOUIS, MO 63128-2141
Phone number: 636-489-1602
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Mailing Address
WEST COUNTY INFECTIOUS DISEASE, LLC
16918 WESTRIDGE OAKS DR
GROVER, MO 63040-1127
Phone number: 636-566-8155
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