| Organization Name: | ST. ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC |
| NPI Number: | 1992931885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVE HINKLE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 12700 Southfork Rd Ste. 255 Saint Louis |
| State: | MO US |
| Postal Code: | 631283201 |
| Phone Number: | 3145251800 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 08/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |