| Concierge Care Llc | |
|
3535 S Jefferson Ave Suite 114 Saint Louis MO 63118-3930 | |
| (314) 771-5822 | |
| Not Available |
| Full Name | Concierge Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3535 S Jefferson Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Uchenna Christopher Ogbuokiri (PHYSICIAN) |
| Authorized Official Contact | 3147038609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Care Llc 3535 South Jefferson Ste 104 Saint Louis MO 63118 Ph: (314) 449-1143 | Concierge Care Llc 3535 S Jefferson Ave Suite 114 Saint Louis MO 63118-3930 Ph: (314) 771-5822 |
| NPI Number | 1073894143 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 05/23/2017 |
| Medicare PECOS PAC ID | 1557528866 |
|---|---|
| Medicare Enrollment ID | O20120127000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073894143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20060253323 (Missouri) | Primary |
| Provider Name | Uchenna C Ogbuokiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467516757 PECOS PAC ID: 2163515057 Enrollment ID: I20070910000102 |
| Provider Name | Danielle Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809737 PECOS PAC ID: 9335421791 Enrollment ID: I20170119000271 |
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