| Imi New Mexico Inc | |
|
1 Mcbride And Son Center Dr Ste 150 Chesterfield MO 63005-1425 | |
| (636) 530-0800 | |
| (636) 519-4081 |
| Full Name | Imi New Mexico Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 1 Mcbride And Son Center Dr, Chesterfield, Missouri |
| Authorized Official Name and Position | Dave Sandvos (CFO) |
| Authorized Official Contact | 6365300800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imi New Mexico Inc 1 Mcbride And Son Center Dr Ste 150 Chesterfield MO 63005-1425 Ph: (636) 530-0800 | Imi New Mexico Inc 1 Mcbride And Son Center Dr Ste 150 Chesterfield MO 63005-1425 Ph: (636) 530-0800 |
| NPI Number | 1558324194 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558324194 | NPI | - | NPPES |
| DB3026 | Other | RAILROAD MEDICARE | |
| 87975734 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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