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11905 W Florissant Ave Suite 100 Florissant MO 63033-6778 | |
(314) 972-0100 | |
(314) 831-7632 |
Full Name | |
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Speciality | Family Medicine |
Location | 11905 W Florissant Ave, Florissant, Missouri |
Authorized Official Name and Position | Sher Lyerla (OFFICE MANAGER) |
Authorized Official Contact | 3148314200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11905 W Florissant Ave Suite 100 Florissant MO 63033-6778 Ph: (314) 972-0100 | 11905 W Florissant Ave Suite 100 Florissant MO 63033-6778 Ph: (314) 972-0100 |
NPI Number | 1922008580 |
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Provider Enumeration Date | 07/26/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1922008580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 33867 (Missouri) | Primary |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291 | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393 | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225 | |