| Specialists In Internal Medicine, Pc | |
|
950 Francis Pl Ste 317 Clayton MO 63105-2465 | |
| (314) 721-6936 | |
| (314) 721-6915 |
| Full Name | Specialists In Internal Medicine, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 Francis Pl, Clayton, Missouri |
| Authorized Official Name and Position | Melvin J Butler (PRESIDENT) |
| Authorized Official Contact | 3144916793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialists In Internal Medicine, Pc 950 Francis Pl Ste 317 Clayton MO 63105-2465 Ph: (314) 721-6936 | Specialists In Internal Medicine, Pc 950 Francis Pl Ste 317 Clayton MO 63105-2465 Ph: (314) 721-6936 |
| NPI Number | 1023096187 |
|---|---|
| Provider Enumeration Date | 01/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537132014 |
|---|---|
| Medicare Enrollment ID | O20040813000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023096187 | NPI | - | NPPES |
| DC0291 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melvin J Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841278850 PECOS PAC ID: 8628267408 Enrollment ID: I20110110000358 |
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