Stephen Veluz Md, Llc | |
6420 Clayton Rd Saint Louis MO 63117-1811 | |
(314) 768-8000 | |
(636) 942-2223 |
Full Name | Stephen Veluz Md, Llc |
---|---|
Speciality | Internal Medicine |
Location | 6420 Clayton Rd, Saint Louis, Missouri |
Authorized Official Name and Position | Sephen Veluz (OWNER) |
Authorized Official Contact | 6369422223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stephen Veluz Md, Llc 8747 White Ave Saint Louis MO 63144-2029 Ph: (314) 413-7579 | Stephen Veluz Md, Llc 6420 Clayton Rd Saint Louis MO 63117-1811 Ph: (314) 768-8000 |
NPI Number | 1124206024 |
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Provider Enumeration Date | 02/04/2008 |
Last Update Date | 05/15/2008 |
Medicare PECOS PAC ID | 3577646843 |
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Medicare Enrollment ID | O20080208000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124206024 | NPI | - | NPPES |
204470009 | Medicaid | MO | |
890179 | Other | MO | HEALTHLINK |
220858 | Other | MO | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2006020986 (Missouri) | Primary |
Provider Name | Stephen Veluz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730293192 PECOS PAC ID: 0244313518 Enrollment ID: I20080208000455 |
Provider Name | Lindsey Marie Viefhaus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902389802 PECOS PAC ID: 8820334907 Enrollment ID: I20190110000743 |
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