Family Medicine Llc | |
1031 Bellevue Ave Suite 349 Richmond Heights MO 63117-1818 | |
(314) 645-7265 | |
(314) 645-7578 |
Full Name | Family Medicine Llc |
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Speciality | Family Medicine |
Location | 1031 Bellevue Ave, Richmond Heights, Missouri |
Authorized Official Name and Position | Ladonna Teressa Finch (PROPRIETOR) |
Authorized Official Contact | 3146457265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medicine Llc 1031 Bellevue Ave Suite 349 Richmond Heights MO 63117-1818 Ph: (314) 645-7265 | Family Medicine Llc 1031 Bellevue Ave Suite 349 Richmond Heights MO 63117-1818 Ph: (314) 645-7265 |
NPI Number | 1376702738 |
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Provider Enumeration Date | 06/02/2008 |
Last Update Date | 11/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376702738 | NPI | - | NPPES |
205710304 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 115448 (Missouri) | Primary |
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