Provider First Line Business Practice Location Address:
2634 HAMPTON AVENUE
Provider Second Line Business Practice Location Address:
CITY OF ST LOUIS EMERGENCY MEDICAL SERVICES
Provider Business Practice Location Address City Name:
ST LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63139-2913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-646-7108
Provider Business Practice Location Address Fax Number:
314-645-4556
Provider Enumeration Date:
10/12/2006