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1404 Triad Center Dr Saint Peters MO 63376-7351 | |
(636) 352-0380 | |
(636) 352-2343 |
Full Name | |
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Speciality | Clinic/center |
Location | 1404 Triad Center Dr, Saint Peters, Missouri |
Authorized Official Name and Position | Richard Wayne Blalock (MEMBER/MANAGER) |
Authorized Official Contact | 6363520380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1404 Triad Center Dr Saint Peters MO 63376-7351 Ph: (636) 352-0380 | 1404 Triad Center Dr Saint Peters MO 63376-7351 Ph: (636) 352-0380 |
NPI Number | 1891090395 |
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Provider Enumeration Date | 01/14/2011 |
Last Update Date | 03/01/2017 |
Identifier | Type | State | Issuer |
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1891090395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2011000744 (Missouri) | Primary |
Medical Essentials Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2730 S Saint Peters Pkwy, Suite 203, Saint Peters, MO 63303 Phone: 314-414-0700 | |
Lawrence S Tierney Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Jungermann Circle, Suite 103, Saint Peters, MO 63376 Phone: 636-928-0022 Fax: 636-928-0023 | |
Practice Management Affiliates Consulting Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Heritage Lndg, Suite 215, Saint Peters, MO 63303 Phone: 636-939-4200 Fax: 636-939-4204 | |
Compass Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8075 Mexico Rd, Saint Peters, MO 63376 Phone: 573-234-5258 | |
Morningstar Neuropathy & Pain Treatment Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4710 Mexico Rd, Saint Peters, MO 63376 Phone: 636-244-0124 Fax: 618-876-7850 | |
Careatc-saint Peter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 918-779-7416 |