Provider First Line Business Practice Location Address:
ONE BARNES JEWISH HOSPITAL PLAZA
Provider Second Line Business Practice Location Address:
STE 16306
Provider Business Practice Location Address City Name:
ST LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-367-7600
Provider Business Practice Location Address Fax Number:
314-367-2788
Provider Enumeration Date:
08/28/2006