| Edward W Heidbrier Md Pc | |
|
3915 Watson Rd Ste 204 Saint Louis MO 63109-1251 | |
| (314) 781-4840 | |
| (314) 781-0285 |
| Full Name | Edward W Heidbrier Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3915 Watson Rd Ste 204, Saint Louis, Missouri |
| Authorized Official Name and Position | Edward William Heidbrier (PRESIDENT) |
| Authorized Official Contact | 3147814840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward W Heidbrier Md Pc 3915 Watson Rd Ste 204 Saint Louis MO 63109-1251 Ph: (314) 781-4840 | Edward W Heidbrier Md Pc 3915 Watson Rd Ste 204 Saint Louis MO 63109-1251 Ph: (314) 781-4840 |
| NPI Number | 1720348600 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 6305097122 |
|---|---|
| Medicare Enrollment ID | O20121103000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720348600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 36756 (Missouri) | Primary |
| Provider Name | Edward W Heidbrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154373124 PECOS PAC ID: 6002949187 Enrollment ID: I20100727000931 |
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