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1801806112
STAN L LONDON MEDICAL LLC
SAINT LOUIS, MO
NPI
1801806112
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Entity Type
Organization
Authorized Contact
STANLEY L. LONDON
Owner
314-569-2294
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 24858)
Enumeration Date
2006-08-09
Last Update Date
2010-05-27
Business Address
STAN L LONDON MEDICAL LLC
1040 N MASON RD STE G03
SAINT LOUIS, MO 63141-6399
Phone number: 314-878-7899
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Mailing Address
STAN L LONDON MEDICAL LLC
1836 LACKLAND HILL PKWY ATTNT: CREDENTIALING DEPT
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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