ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI 1023425329

NPI Information

  • NPI: 1023425329
  • Provider Name: ST. ANTHONY'S PHYSICIAN ORGANIZATION
  • Classification: Clinic/Center - 261QX0203X
  • Specialization: Oncology, Radiation
  • Entity Type: Organization
  • Doing Business As: MERCY CLINIC SOUTH PHYSICIANS
  • Address: 10010 KENNERLY RD
    ATTN: CANCER CARE CENTER
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 525-1688

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NPI Details

ST. ANTHONY'S PHYSICIAN ORGANIZATION is an oncology and radiation clinic center in Saint Louis, MO. ST. ANTHONY'S PHYSICIAN ORGANIZATION NPI is 1023425329. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Clinic South Physicians.

The provider's business location address is:

10010 KENNERLY RD
ATTN: CANCER CARE CENTER
SAINT LOUIS, MO
ZIP 63128-106
Phone: (314) 525-1688
Fax: (314) 525-1689

The provider's authorized official is Cheryl Matejka .
The authorized official title is Cfo East Communities & Sfo and has the following contact phone number (314) 251-1958.

The enumeration date for this NPI number is 7/18/2014 and was last updated on 1/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0203XClinic/CenterOncology, Radiation273-39MISSOURIYes

What is NPI?

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This page was last updated on: 3/30/2025

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