KNIGHT INTERNISTS, INC
Osteopathic Medicine in Saint Louis, MO

License number
Missouri 26712
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Missouri 26712
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: MRS. VIVIAN LORRAINE MCCREE
Title: OFFICE MANAGER
Phone: (314) 645-3400
Address
Address
1035 Bellevue Ave Suite 205 St., Saint Louis, MO 63117
National Provider ID: 1184803579
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KNIGHT INTERNISTS, INC

Saint Louis, MO  -  Spring Bluff, MO

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Knight Internist Inc<br>Knight Internist Inc - Garrett A Hagen MD
Registration:
Mar 21, 1983
Phone:
(314) 645-3400 (Phone)
Addresses:
1035 Bellevue Ave, Saint Louis, MO 63117 (Physical)
PO Box 1005, Spring Bluff, MO 63080
State ID:
00250376
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Office Managers:
Garrett A. Hagen President, Medical Doctor, Owner, inactive,Vivian L. Mccree Manager, Office Manager, inactive,William Otten Secretary, inactive,...
Agent:
Cambron Boudria,11 E Vine St, Sullivan, MO 63080 (Physical)
Categories:
Endocrinology & Metabolism Physicians & Surgeons, Physicians & Surgeons

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