Provider Demographics
NPI:1679767719
Name:WOMEN'S HEALTH SPECIALISTS OF ST. LOUIS, LLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH SPECIALISTS OF ST. LOUIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-569-1223
Mailing Address - Street 1:456 N NEW BALLAS RD
Mailing Address - Street 2:SUITE 386
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6831
Mailing Address - Country:US
Mailing Address - Phone:314-292-7080
Mailing Address - Fax:314-292-7095
Practice Address - Street 1:456 N NEW BALLAS RD
Practice Address - Street 2:SUITE 386
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6831
Practice Address - Country:US
Practice Address - Phone:314-292-7080
Practice Address - Fax:314-292-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty