Southside Medical Group PC
Southside Medical Group PC is a Specialist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9700 Mackenzie Rd Ste 105Saint Louis, MO 63123-5423
Phone: (314) 638-9100
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence R77046 (MO) |
|---|
Record details
| NPI number | 1912101486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Subodh Mehra — Doctor · (314) 638-9100 |
| NPI enumerated | June 11, 2007 |
| Last updated in NPPES | August 28, 2009 |
| Mailing address | 9700 Mackenzie Rd Ste 105, Saint Louis, MO 63123-5423 |
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