| Digestive Care Consultants, Inc | |
|
100 Village Sq Hazelwood MO 63042-1820 | |
| (314) 298-1600 | |
| (314) 298-1601 |
| Full Name | Digestive Care Consultants, Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 100 Village Sq, Hazelwood, Missouri |
| Authorized Official Name and Position | Gary David Koenig (PRESIDENT) |
| Authorized Official Contact | 3142981600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Care Consultants, Inc 100 Village Sq Hazelwood MO 63042-1820 Ph: (314) 298-1600 | Digestive Care Consultants, Inc 100 Village Sq Hazelwood MO 63042-1820 Ph: (314) 298-1600 |
| NPI Number | 1427175645 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 09/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427175645 | NPI | - | NPPES |
| 202823316 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MDR3G44 (Missouri) | Primary |
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