| Professional Internal Medicine Llc | |
|
4625 Lindell Blvd Suite 507 Saint Louis MO 63108-3725 | |
| (314) 367-4800 | |
| (314) 367-6400 |
| Full Name | Professional Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4625 Lindell Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Kenneth J Rybicki (PHYSICIAN) |
| Authorized Official Contact | 3143674800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Internal Medicine Llc 4625 Lindell Blvd Suite 507 Saint Louis MO 63108-3725 Ph: (314) 367-4800 | Professional Internal Medicine Llc 4625 Lindell Blvd Suite 507 Saint Louis MO 63108-3725 Ph: (314) 367-4800 |
| NPI Number | 1376835207 |
|---|---|
| Provider Enumeration Date | 05/11/2011 |
| Last Update Date | 05/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376835207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36902 (Missouri) | Primary |
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