| Family Medicine At Depaul | |
|
12255 De Paul Dr Suite 200 Bridgeton MO 63044-2510 | |
| (314) 344-7600 | |
| (314) 344-7850 |
| Full Name | Family Medicine At Depaul |
|---|---|
| Speciality | Family Medicine |
| Location | 12255 De Paul Dr, Bridgeton, Missouri |
| Authorized Official Name and Position | Laura Lynn Pullum (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 3142098121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine At Depaul 12255 De Paul Dr Suite 200 Bridgeton MO 63044-2510 Ph: (314) 344-7600 | Family Medicine At Depaul 12255 De Paul Dr Suite 200 Bridgeton MO 63044-2510 Ph: (314) 344-7600 |
| NPI Number | 1003929407 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003929407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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