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1400 Elbridge Payne Rd Suite 200 Chesterfield MO 63017-8520 | |
| (636) 449-1250 | |
| (636) 449-1268 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1400 Elbridge Payne Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Jeff Oberle (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 3146045622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1400 Elbridge Payne Rd Suite 200 Chesterfield MO 63017-8520 Ph: (636) 449-1250 | 1400 Elbridge Payne Rd Suite 200 Chesterfield MO 63017-8520 Ph: (636) 449-1250 |
| NPI Number | 1417255258 |
|---|---|
| Provider Enumeration Date | 03/02/2011 |
| Last Update Date | 03/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417255258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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