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1902122211
INTENSIVIST GROUP OF MISSOURI INC
FENTON, MO
NPI
1902122211
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Entity Type
Organization
Authorized Contact
JAY S. COWEN
President
866-344-0543
Organization Subpart ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
Enumeration Date
2010-04-12
Last Update Date
2010-07-20
Business Address
INTENSIVIST GROUP OF MISSOURI INC
1015 BOWLES AVE
FENTON, MO 63026-2394
Phone number: 866-344-0543
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Mailing Address
INTENSIVIST GROUP OF MISSOURI INC
830 W IL ROUTE 22 SUITE 50
LAKE ZURICH, IL 60047-2560
Phone number: 866-344-0543
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