Stephen Larson, MD | |
12303 De Paul Dr, Bridgeton, MO 63044-2512 | |
(314) 344-6000 | |
Not Available |
Full Name | Stephen Larson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 12303 De Paul Dr, 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 |
---|---|---|---|
1386755775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2003010856 (Missouri) | Primary |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
Entity Name | Acs Emergency Physicians Of Sc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124355375 PECOS PAC ID: 0648311506 Enrollment ID: O20100114000254 |
Entity Name | Sea Pines Circle Immediate Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275056715 PECOS PAC ID: 9931475910 Enrollment ID: O20171018002203 |
Mailing Address | Practice Location Address |
---|---|
Stephen Larson, MD Po Box 4853, Oak Brook, IL 60522-4853 Ph: (314) 344-6000 | Stephen Larson, MD 12303 De Paul Dr, Bridgeton, MO 63044-2512 Ph: (314) 344-6000 |
Norman J Ehlinger Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3436a Mckelvey Rd, Bridgeton, MO 63044 Phone: 314-739-5518 Fax: 314-739-1223 | |
Laura Marie Viero-dothage, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 630-734-1560 | |
Dr. Anil Kumar Srivastava, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 Phone: 314-770-0991 | |
Timothy F Reed, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Andrew J Wahle, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 Phone: 314-344-6000 Fax: 630-734-1560 | |
Gilbert N Jones, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12303 Depaul Drive, Bridgeton, MO 63044 Phone: 314-344-6000 | |
Dr. Alicia H Busso, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12303 De Paul Dr, Bridgeton, MO 63044 Phone: 314-344-6360 |