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14021 New Halls Ferry Rd Florissant MO 63033-2708 | |
(314) 839-0910 | |
(314) 839-9053 |
Full Name | |
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Speciality | Family Medicine |
Location | 14021 New Halls Ferry Rd, Florissant, Missouri |
Authorized Official Name and Position | Laura Lynn Pullum (DIRECTOR OF PATIENT ACCOUNTS) |
Authorized Official Contact | 6366692434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1551 Wall St Suite 310 Saint Charles MO 63303-3541 Ph: (636) 669-2268 | 14021 New Halls Ferry Rd Florissant MO 63033-2708 Ph: (314) 839-0910 |
NPI Number | 1952312951 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 11/18/2010 |
Identifier | Type | State | Issuer |
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1952312951 | NPI | - | NPPES |
6438130003 | Other | MO | MEDICARE DME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
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 | |