| Gm Health Llc | |
|
11040 Sandistan Dr Saint Louis MO 63146-5583 | |
| (402) 208-2254 | |
| Not Available |
| Full Name | Gm Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11040 Sandistan Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | George Mansour (OWNER) |
| Authorized Official Contact | 4022082254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gm Health Llc 11040 Sandistan Dr Saint Louis MO 63146-5583 Ph: (402) 208-2254 | Gm Health Llc 11040 Sandistan Dr Saint Louis MO 63146-5583 Ph: (402) 208-2254 |
| NPI Number | 1831886175 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 2567822307 |
|---|---|
| Medicare Enrollment ID | O20230712002076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831886175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | George Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194072835 PECOS PAC ID: 6406169846 Enrollment ID: I20150714002939 |
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