Healthcare Provider Details

I. General information

NPI: 1306062955
Provider Name (Legal Business Name): ASSOCIATED SPECIALISTS IN MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 04/25/2022
Certification Date: 04/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 N MASON RD STE 240
SAINT LOUIS MO
63141-6338
US

IV. Provider business mailing address

969 N MASON RD STE 240
SAINT LOUIS MO
63141-6338
US

V. Phone/Fax

Practice location:
  • Phone: 314-542-0606
  • Fax: 314-542-0212
Mailing address:
  • Phone: 314-542-0606
  • Fax: 314-542-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN CURRAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-542-0606