| Doctor's Clinical Group | |
|
12255 Depaul Drive Suite 865 Bridgeton MO 63044 | |
| (314) 291-0505 | |
| (314) 291-0747 |
| Full Name | Doctor's Clinical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 12255 Depaul Drive Suite 865, Bridgeton, Missouri |
| Authorized Official Name and Position | Robert P. Poetz (OWNER) |
| Authorized Official Contact | 3142910505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor's Clinical Group Po Box 790379 Saint Louis MO 63179-0379 Ph: (314) 291-0505 | Doctor's Clinical Group 12255 Depaul Drive Suite 865 Bridgeton MO 63044 Ph: (314) 291-0505 |
| NPI Number | 1871762385 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871762385 | NPI | - | NPPES |
| 0004255603 | Other | MO | AETNA |
| 240407908 | Medicaid | MO | |
| 250759 | Other | MO | HARMONY |
| 3065209001 | Other | MO | CIGNA |
| 489409703 | Other | MO | MERCYCARE PLUS |
| D92011 | Other | MO | HUMANA |
| 080130617 | Other | MO | MEDICARE RAILROAD |
| 103753 | Other | MO | HEALTHLINK |
| 123036 | Other | MO | GHP |
| 489409703 | Other | MO | COMMUNITY CARE |
| 01-00207 | Other | MO | UNITED HEALTH CARE |
| 100805 | Other | MO | ANTHEM BC/BS |
| 100805 | Other | MO | BC/BS |
| 2064 | Other | MO | HEALTHCARE USA |
| 77072 | Other | MO | WELLCARE |
| D92011 | Other | MO | EXCLUSIVE CHOICE |
| 1013577 | Other | MO | CARE PARTNERS |
| 1940001 | Other | MO | PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29351 (Missouri) | Primary |
| 363L00000X | Nurse Practitioner | 152467 (Missouri) | Secondary |
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Metro Medical Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12174 Natural Bridge Rd, Bridgeton, MO 63044 Phone: 314-563-3431 | |
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