| Mid County Internal Medicine | |
|
1031 Bellevue Ave Suite 300 Saint Louis MO 63117-1818 | |
| (314) 644-0042 | |
| (314) 644-1507 |
| Full Name | Mid County Internal Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 1031 Bellevue Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Lesa Schnarr (DIRECTOR) |
| Authorized Official Contact | 3149515330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid County Internal Medicine 7980 Clayton Rd Suite 202 Saint Louis MO 63117-1354 Ph: (314) 951-5368 | Mid County Internal Medicine 1031 Bellevue Ave Suite 300 Saint Louis MO 63117-1818 Ph: (314) 644-0042 |
| NPI Number | 1144402660 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144402660 | NPI | - | NPPES |
| CG1303 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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