AHS MISSOURI MEDICAL GROUP LLC

SAINT LOUIS, MO
NPI1841917309
Entity TypeOrganization
Authorized ContactJONATHAN E BURKET
Compliance
818-666-0602
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2022-10-25
Last Update Date2022-10-25
Business Address
AHS MISSOURI MEDICAL GROUP LLC
3933 S BROADWAY
SAINT LOUIS, MO 63118-4601
Phone number: 818-666-0602
Mailing Address
AHS MISSOURI MEDICAL GROUP LLC
505 N BRAND BLVD STE 1110
GLENDALE, CA 91203-3932
Phone number: 818-666-0602