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NPI Code Detail

MEDICARE: SERIO MISSOURI LLC

MEDICARE: SERIO MISSOURI LLC
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
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1467633834
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERIO MISSOURI LLC
Provider Business Mailing Address
First Line : 1241 W MINERAL AVE
Second Line : SUITE 100
City : LITTLETON
State : CO
Zip : 80120-5685
Country : US
Telephone Number : 303-759-0854
Fax Number : 303-759-0864
Provider Business Practice Location Address
First Line : 10010 KENNERLY RD
Second Line : ST. ANTHONY'S MEDICAL CENTER
City : SAINT LOUIS
State : MO
Zip : 63128-2106
Country : US
Telephone Number : 314-525-1900
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : ROSE AREBALO
Credential :
Telephone Number : 303-759-0854
Provider Enumeration Date : 11/14/2007
Last Update Date : 11/14/2007

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Directions to “SERIO MISSOURI LLC ” Practice Location

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