| Des Peres Family Medicine Pc | |
|
2325 Dougherty Ferry Rd Suite 104 Saint Louis MO 63122-3356 | |
| (314) 965-1965 | |
| (314) 965-1700 |
| Full Name | Des Peres Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2325 Dougherty Ferry Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Demetrios V Politis (PRESIDENT) |
| Authorized Official Contact | 3149651965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Des Peres Family Medicine Pc 2325 Dougherty Ferry Rd Suite 104 Saint Louis MO 63122-3356 Ph: (314) 965-1965 | Des Peres Family Medicine Pc 2325 Dougherty Ferry Rd Suite 104 Saint Louis MO 63122-3356 Ph: (314) 965-1965 |
| NPI Number | 1740435304 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740435304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P00924526 (Missouri) | Primary |
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