DCCT

SAINT LOUIS, MO
NPI1588818975
Entity TypeOrganization
Authorized ContactREZA ROFOUGARAN
CEO
314-610-8169
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: MO  101819)
Enumeration Date2008-11-11
Last Update Date2008-11-13
Business Address
DCCT
1423 S BIG BEND BLVD
SAINT LOUIS, MO 63117-2203
Phone number: 314-610-8169
Mailing Address
DCCT
PO BOX 9169
SAINT LOUIS, MO 63117-0169
Phone number: 314-610-8169
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