| Internal Medicine Specialists | |
|
3009 N Ballas Rd Suite 315a Saint Louis MO 63131-2322 | |
| (314) 996-5900 | |
| (314) 996-5910 |
| Full Name | Internal Medicine Specialists |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3009 N Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Raymond P Davidson (PRESIDENT) |
| Authorized Official Contact | 3142862028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Specialists 670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | Internal Medicine Specialists 3009 N Ballas Rd Suite 315a Saint Louis MO 63131-2322 Ph: (314) 996-5900 |
| NPI Number | 1043386147 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043386147 | NPI | - | NPPES |
| CN1994 | Other | MO | MEDICARE RAILRAOD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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