ST CLAIR ALLERGY-ASTHMA
Medical Practice in Saint Clair, MO

License number
Missouri R3G15
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JOHN D. MARCUM M.D.
Title: PRESIDENT
Phone: (636) 629-6030
Address
Address 2
1020 St. Clair Plz, Saint Clair, MO 63077
13025 Pagada Pkwy, Saint Louis, MO 63127
National Provider ID: 1225367337
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ST. CLAIR ALLERGY-ASTHMA PRACTICE, INC

1020 St Clair Plz, Saint Clair, MO 63077

Registration:
Jan 7, 1987
State ID:
00297458
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Agent:
John D Marcum,1020 St Clair Plz, Saint Clair, MO 63077 (Physical)

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