| Mtec | |
|
12855 N 40 Dr Suite 175 Saint Louis MO 63141-8635 | |
| (314) 628-9000 | |
| (314) 628-9696 |
| Full Name | Mtec |
|---|---|
| Speciality | Internal Medicine |
| Location | 12855 N 40 Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Giuseppe Aliperti (OWNER) |
| Authorized Official Contact | 3146289000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtec 12855 N 40 Dr Suite 175 Saint Louis MO 63141-8635 Ph: (314) 628-9000 | Mtec 12855 N 40 Dr Suite 175 Saint Louis MO 63141-8635 Ph: (314) 628-9000 |
| NPI Number | 1427099845 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 04/10/2008 |
| Medicare PECOS PAC ID | 9234160946 |
|---|---|
| Medicare Enrollment ID | O20050823000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427099845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | LC0056172 (Missouri) | Primary |
| Provider Name | Giuseppe C Aliperti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144264698 PECOS PAC ID: 7416957022 Enrollment ID: I20111219000696 |
| Provider Name | Shannon Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942712310 PECOS PAC ID: 7113356932 Enrollment ID: I20210727000255 |
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