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NPI Code Detail

MEDICARE: MISSOURI SCHOOL FOR THE BLIND

MEDICARE: MISSOURI SCHOOL FOR THE BLIND
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1306911904
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSOURI SCHOOL FOR THE BLIND
Provider Business Mailing Address
First Line : 3815 MAGNOLIA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-4025
Country : US
Telephone Number : 314-776-4320
Fax Number : 314-773-3762
Provider Business Practice Location Address
First Line : 3815 MAGNOLIA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-4025
Country : US
Telephone Number : 314-776-4320
Fax Number : 314-773-3762
Authorized Official
Title or Position : SUPERINTENDENT
Name : DR. JAMES W. SUCHARSKI
Credential : D.O.
Telephone Number : 314-776-4320
Provider Enumeration Date : 11/21/2006
Last Update Date : 08/22/2020

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Directions to “MISSOURI SCHOOL FOR THE BLIND ” Practice Location

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