| Clayton Primary Care | |
|
3009 N Ballas Rd Suite 300a Saint Louis MO 63131-2322 | |
| (314) 872-9900 | |
| (314) 872-3939 |
| Full Name | Clayton Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 3009 N Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | J Collins Corder (OWNER) |
| Authorized Official Contact | 3148729900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Primary Care 3009 N Ballas Rd Suite 300a Saint Louis MO 63131-2322 Ph: (314) 872-9900 | Clayton Primary Care 3009 N Ballas Rd Suite 300a Saint Louis MO 63131-2322 Ph: (314) 872-9900 |
| NPI Number | 1033186663 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033186663 | NPI | - | NPPES |
| 508139508 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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