| Premise Health Of Missouri Medical, P.c. | |
|
1000 Technology Dr O Fallon MO 63368-2239 | |
| (636) 261-1600 | |
| Not Available |
| Full Name | Premise Health Of Missouri Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1000 Technology Dr, O Fallon, Missouri |
| Authorized Official Name and Position | William Wright (LEGAL COUNSEL) |
| Authorized Official Contact | 6155775893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Missouri Medical, P.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Missouri Medical, P.c. 1000 Technology Dr O Fallon MO 63368-2239 Ph: (636) 261-1600 |
| NPI Number | 1992412266 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992412266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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