| Christopher M Perry Do Pc | |
|
11155 Dunn Rd Suite 102north Saint Louis MO 63136-6150 | |
| (314) 749-2696 | |
| (314) 355-4707 |
| Full Name | Christopher M Perry Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11155 Dunn Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Christopher Michael Perry (PRESIDENT) |
| Authorized Official Contact | 3147492696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher M Perry Do Pc 11155 Dunn Rd Suite 102north Saint Louis MO 63136-6150 Ph: (314) 749-2696 | Christopher M Perry Do Pc 11155 Dunn Rd Suite 102north Saint Louis MO 63136-6150 Ph: (314) 749-2696 |
| NPI Number | 1548508955 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 04/16/2023 |
| Medicare PECOS PAC ID | 9739326406 |
|---|---|
| Medicare Enrollment ID | O20130516000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548508955 | NPI | - | NPPES |
| 243073509 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R4N70 (Missouri) | Primary |
| Provider Name | Christopher M Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164534434 PECOS PAC ID: 4880647106 Enrollment ID: I20050310000352 |
| Provider Name | Andrew Taus Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356902043 PECOS PAC ID: 3971838749 Enrollment ID: I20220721001915 |
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