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1225 Graham Rd Suite 220 Florissant MO 63031-8014 | |
(314) 838-6700 | |
(314) 838-6020 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1225 Graham Rd, Florissant, 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 |
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670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | 1225 Graham Rd Suite 220 Florissant MO 63031-8014 Ph: (314) 838-6700 |
NPI Number | 1043386162 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 03/26/2008 |
Identifier | Type | State | Issuer |
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1043386162 | NPI | - | NPPES |
CN1994 | Other | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291 | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393 | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225 | |