John J Puetz, MD | |
12303 Depaul Drive, Bridgeton, MO 63044 | |
(314) 344-6000 | |
Not Available |
Full Name | John J Puetz |
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Gender | Male |
Speciality | Pediatrics |
Location | 12303 Depaul Drive, Bridgeton, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508811068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 100622 (Missouri) | Primary |
Entity Name | Ssm Cardinal Glennon Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
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John J Puetz, MD 1836 Lackland Hill Pkwy, Attention: Credentialing Supervisor, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | John J Puetz, MD 12303 Depaul Drive, Bridgeton, MO 63044 Ph: (314) 344-6000 |
Dr. Brian James Saville, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12255 Depaul Dr, Suite 460, Bridgeton, MO 63044 Phone: 314-770-2300 Fax: 314-770-1843 | |
Joanne M Malcharek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Amanda Rohlfing, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr Ste 300, Bridgeton, MO 63044 Phone: 314-344-6021 | |
Joseph Muenster, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3440 Depaul Ln, Suite 210, Bridgeton, MO 63044 Phone: 314-291-7766 | |
Mrs. Isabel Levine Rosenbloom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12255 De Paul Dr, Suite 490, Bridgeton, MO 63044 Phone: 314-291-7766 Fax: 314-291-7767 | |
Harvey E Cantor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Dr. Walter F Benoist, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12277 De Paul Dr, Suite 506, Bridgeton, MO 63044 Phone: 314-770-2300 Fax: 314-770-1843 |