| Metropolitan Neurology, Ltd | |
|
10004 Kennerly Rd Suite 391b Saint Louis MO 63128-2141 | |
| (314) 843-8222 | |
| Not Available |
| Full Name | Metropolitan Neurology, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10004 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Gary Myers (OWNER) |
| Authorized Official Contact | 3148438222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Neurology, Ltd 10004 Kennerly Rd Suite 391b Saint Louis MO 63128-2141 Ph: (314) 843-8222 | Metropolitan Neurology, Ltd 10004 Kennerly Rd Suite 391b Saint Louis MO 63128-2141 Ph: (314) 843-8222 |
| NPI Number | 1912115619 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 01/28/2008 |
| Medicare PECOS PAC ID | 8224013131 |
|---|---|
| Medicare Enrollment ID | O20040623000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912115619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | R5513 (Missouri) | Primary |
| Provider Name | Min Pan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184678393 PECOS PAC ID: 5799763629 Enrollment ID: I20040708000756 |
| Provider Name | Michele A Wood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083652366 PECOS PAC ID: 7416090154 Enrollment ID: I20100203000798 |
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