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172 Professional Parkway Troy MO 63379-1520 | |
(636) 462-6106 | |
(636) 669-2401 |
Full Name | |
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Speciality | Internal Medicine |
Location | 172 Professional Parkway, Troy, Missouri |
Authorized Official Name and Position | Laura Pullum (BILLING MANAGER) |
Authorized Official Contact | 6366692434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1551 Wall St Suite 310 Saint Charles MO 63303-3539 Ph: (636) 669-2268 | 172 Professional Parkway Troy MO 63379-1520 Ph: (636) 462-6106 |
NPI Number | 1285741629 |
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Provider Enumeration Date | 08/23/2006 |
Last Update Date | 01/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285741629 | NPI | - | NPPES |
501887806 | Medicaid | MO |
Lewis Meyerson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sarah Ann Blvd, Troy, MO 63379 Phone: 636-528-5281 Fax: 636-462-2637 | |