Healthcare Provider Details

I. General information

NPI: 1306856422
Provider Name (Legal Business Name): ARCH MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12855 N FORTY DR STE 200
ST LOUIS MO
63141-8635
US

IV. Provider business mailing address

12855 N FORTY DR STE 200
ST LOUIS MO
63141-8635
US

V. Phone/Fax

Practice location:
  • Phone: 314-628-1210
  • Fax: 314-628-1220
Mailing address:
  • Phone: 314-628-1210
  • Fax: 314-628-1220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEONARD A WHITE JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 314-628-1210