Healthcare Provider Details

I. General information

NPI: 1215063110
Provider Name (Legal Business Name): ST LOUIS ONCOLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10012 KENNERLY RD SUITE 100
SAINT LOUIS MO
63128-2197
US

IV. Provider business mailing address

10012 KENNERLY RD SUITE 100
SAINT LOUIS MO
63128-2197
US

V. Phone/Fax

Practice location:
  • Phone: 314-849-6066
  • Fax: 314-849-4038
Mailing address:
  • Phone: 314-849-6066
  • Fax: 314-849-4038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROY WILLIAM MORRIS
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 314-849-6066