Steadymd Physician Group, Pc | |
30 Maryland Plz Ste 300 Saint Louis MO 63108-1554 | |
(978) 248-8069 | |
Not Available |
Full Name | Steadymd Physician Group, Pc |
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Speciality | General Practice |
Location | 30 Maryland Plz Ste 300, Saint Louis, Missouri |
Authorized Official Name and Position | Scott Soerries (PRESIDENT) |
Authorized Official Contact | 9782488069 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Steadymd Physician Group, Pc 30 Maryland Plz Ste 300 Saint Louis MO 63108-1554 Ph: () - | Steadymd Physician Group, Pc 30 Maryland Plz Ste 300 Saint Louis MO 63108-1554 Ph: (978) 248-8069 |
NPI Number | 1750020632 |
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Provider Enumeration Date | 05/31/2022 |
Last Update Date | 09/20/2023 |
Certification Date | 09/20/2023 |
Medicare PECOS PAC ID | 2264818376 |
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Medicare Enrollment ID | O20220927002293 |
Identifier | Type | State | Issuer |
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1750020632 | NPI | - | NPPES |
Provider Name | Scott R Soerries |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1598705535 PECOS PAC ID: 5991691461 Enrollment ID: I20061102000506 |
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