MEDICARE: WOMENS HEALTH WELLNESS & PREGNANCY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	102375	MO

General Provider Information

NPI Number	:	1528255239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENS HEALTH WELLNESS & PREGNANCY PC

Provider Business Mailing Address
First Line	:	10135 W FLORISSANT AVE
Second Line	:
City	:	ST LOUIS
State	:	MO
Zip	:	63136
Country	:	US
Telephone Number	:	314-521-1444
Fax Number	:	314-521-2299

Provider Business Practice Location Address
First Line	:	10135 W FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-2103
Country	:	US
Telephone Number	:	314-521-1444
Fax Number	:	314-521-2299

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MS. MARGARITA EMMA PILE
Credential	:
Telephone Number	:	314-521-1444

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	06/21/2011

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