St Clair Allergy-Asthma
Organization Active NPI Specialist · St. Clair, MO
NPI 1225367337 · NPPES record last updated Jul 25, 2014
Key facts
- NPI
- 1225367337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- R3G15 (MO)
- Legal business name
- ST CLAIR ALLERGY-ASTHMA
- Practice address
- 1020 St. Clair Plaza
St. Clair, MO 63077 - Phone
- (636) 629-6030
- Fax
- (636) 629-6030
- NPI assigned
- Dec 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. John D. Marcum, M.D.
- Title
- President
- Phone
- (636) 629-6030
National Provider Directory
Locations
111 E Main St
Park Hills, MO 63601
Phone (573) 431-5303
1020 Plaza Ct S
Saint Clair, MO 63077
Phone (636) 629-6030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | R3G15 | MO | Yes |
Addresses
Primary practice location
1020 St. Clair Plaza
St. Clair, MO 63077
Mailing address
13025 Pagada Pkwy
Saint Louis, MO 63127-1931
Phone (636) 629-6030
Other providers in St. Clair, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.