St Louis University
St Louis University is a Sports Medicine (Family Medicine) Physician in St. Louis, Missouri. Works from 2 locations. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1225 S Grand 2L Door 5St. Louis, MO 63104-6310
Phone: (314) 977-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1755 S Grand Blvd, Saint Louis, MO 63104-1540 — (314) 256-3850
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X |
|---|
Record details
| NPI number | 1306120183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alyce Lanxon — Executive Director · (314) 977-6828 |
| Other names | Slucare Dept Of Fcm Sports Medicine; Slucare Dept Of Fcm Sports Medicine |
| NPI enumerated | September 28, 2011 |
| Last updated in NPPES | September 21, 2021 |
| Certification date | September 21, 2021 |
| Mailing address | 3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020 |
Other providers in St. Louis
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St Louis University
1225 S Grand 2L Door 5, St. Louis, MO 63104 · (314) 977-4700