Provider First Line Business Practice Location Address:
MALLINCKRODT INSTITUTE OF RADIOLOGY - BARNESJEWISH HOSP
Provider Second Line Business Practice Location Address:
510 SOUTH KINGSHIGHWAY BLVD.,
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-533-3161
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2007