STELLA MARIS INTERNAL MEDICINE LLC

SAINT LOUIS, MO
NPI1710925383
Entity TypeOrganization
Authorized ContactHANI CHARLES SOUDAH
Doctor
314-205-1926
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  103060)
Enumeration Date2006-06-03
Last Update Date2014-03-17
Business Address
STELLA MARIS INTERNAL MEDICINE LLC
12855 N 40 DR SUITE 350
SAINT LOUIS, MO 63141-8635
Phone number: 314-205-1926
Mailing Address
STELLA MARIS INTERNAL MEDICINE LLC
12855 N 40 DR SUITE 350
SAINT LOUIS, MO 63141-8635
Phone number: 314-205-1926