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1855 Bowles Ave, Suite 210 Fenton MO 63026 | |
| (636) 779-1430 | |
| (314) 686-4920 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1855 Bowles Ave, Suite 210, Fenton, Missouri |
| Authorized Official Name and Position | Heather Wilhelm (DIRECTOR OF CLIENT ACCOUNTS) |
| Authorized Official Contact | 3142227441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1855 Bowles Ave Ste 210 Fenton MO 63026-1900 Ph: (314) 222-7441 | 1855 Bowles Ave, Suite 210 Fenton MO 63026 Ph: (636) 779-1430 |
| NPI Number | 1790954410 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790954410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Physicians Health Group Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 S. Highway Dr, Fenton, MO 63026 Phone: 636-305-2000 Fax: 314-584-7007 | |
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