| Stuart R. Adler, Md Pc | |
|
11155 Dunn Rd Suite 201e Saint Louis MO 63136-6150 | |
| (314) 355-3175 | |
| (314) 355-5175 |
| Full Name | Stuart R. Adler, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11155 Dunn Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Stuart R Adler (PRESIDENT) |
| Authorized Official Contact | 3143553175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart R. Adler, Md Pc 11155 Dunn Rd Suite 201e Saint Louis MO 63136-6150 Ph: (314) 355-3175 | Stuart R. Adler, Md Pc 11155 Dunn Rd Suite 201e Saint Louis MO 63136-6150 Ph: (314) 355-3175 |
| NPI Number | 1861672891 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 03/28/2014 |
| Medicare PECOS PAC ID | 1456441278 |
|---|---|
| Medicare Enrollment ID | O20071218000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861672891 | NPI | - | NPPES |
| 242741168 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | R1F22 (Missouri) | Primary |
| Provider Name | Stuart R Adler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801819487 PECOS PAC ID: 5991700098 Enrollment ID: I20070215000573 |
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