Doctors Group , Pc | |
12800 Boenker Ln Bridgeton MO 63044-2438 | |
(314) 551-0338 | |
(314) 551-0336 |
Full Name | Doctors Group , Pc |
---|---|
Speciality | Internal Medicine |
Location | 12800 Boenker Ln, Bridgeton, Missouri |
Authorized Official Name and Position | Khaled R Hassan (OWNER) |
Authorized Official Contact | 3145510338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Doctors Group , Pc 12800 Boenker Ln Bridgeton MO 63044-2438 Ph: (314) 551-0338 | Doctors Group , Pc 12800 Boenker Ln Bridgeton MO 63044-2438 Ph: (314) 551-0338 |
NPI Number | 1730259888 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 04/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730259888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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