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6 Jungermann Circle Ste 121 St Peters MO 63376-1618 | |
(636) 936-1809 | |
(636) 936-3655 |
Full Name | |
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Speciality | Internal Medicine |
Location | 6 Jungermann Circle, St Peters, Missouri |
Authorized Official Name and Position | Richard Eugene Parcinski (OWNER) |
Authorized Official Contact | 6369361809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6 Jungermann Circle Ste 121 St Peters MO 63376-1618 Ph: (636) 936-1809 | 6 Jungermann Circle Ste 121 St Peters MO 63376-1618 Ph: (636) 936-1809 |
NPI Number | 1043476385 |
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Provider Enumeration Date | 08/06/2008 |
Last Update Date | 08/06/2008 |
Medicare PECOS PAC ID | 1254408230 |
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Medicare Enrollment ID | O20080916000609 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043476385 | NPI | - | NPPES |
24776850 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 100526 (Missouri) | Primary |
Provider Name | Richard E Parcinski |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295703072 PECOS PAC ID: 2860568151 Enrollment ID: I20080910000657 |