Provider First Line Business Practice Location Address: 
1 BARNES JEW HOSP PLZ
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
SAINT LOUIS
    Provider Business Practice Location Address State Name: 
MO
    Provider Business Practice Location Address Postal Code: 
63110-1003
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
314-362-2462
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/22/2023