St Peters Family Medicine, Llc | |
5770 Mexico Road Ste #d St. Peters MO 63376-1637 | |
(636) 926-0558 | |
(636) 926-8141 |
Full Name | St Peters Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 5770 Mexico Road, St. Peters, Missouri |
Authorized Official Name and Position | Talena C Hubbard (OFFICE MANAGER) |
Authorized Official Contact | 6369260558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Peters Family Medicine, Llc 5770 Mexico Road Ste #d St. Peters MO 63376-1637 Ph: (636) 926-0558 | St Peters Family Medicine, Llc 5770 Mexico Road Ste #d St. Peters MO 63376-1637 Ph: (636) 926-0558 |
NPI Number | 1609867134 |
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Provider Enumeration Date | 11/03/2005 |
Last Update Date | 08/19/2008 |
Identifier | Type | State | Issuer |
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1609867134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |