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Search › Missouri › 253Z00000X

Montrell Thornton

NPI 1528418399 · on the registry since 2016 · sole proprietor

Practice

Address
111 W Port Plz Fl 6
Saint Louis, MO 63146
Phone
(314) 322-4656
Organisation at this address
Legacy Care Llc
Legacy Care Llc
Pdi Health Mo Llc
Pdi Health Mo Llc
Md2u Missouri Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri