SOUTHSIDE MEDICAL GROUP PC

SAINT LOUIS, MO
NPI1912101486
Entity TypeOrganization
Authorized ContactSUBODH K MEHRA
Doctor
314-638-9100
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: MO  R77046)
Enumeration Date2007-06-11
Last Update Date2009-08-28
Business Address
SOUTHSIDE MEDICAL GROUP PC
9700 MACKENZIE RD STE 105
SAINT LOUIS, MO 63123-5423
Phone number: 314-638-9100
Mailing Address
SOUTHSIDE MEDICAL GROUP PC
9700 MACKENZIE RD STE 105
SAINT LOUIS, MO 63123-5423
Phone number: 314-638-9100
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