| Suburban West Internal Medicine | |
|
1011 Bowles Ave Suite 300 Fenton MO 63026-2387 | |
| (636) 496-5000 | |
| (636) 496-5045 |
| Full Name | Suburban West Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1011 Bowles Ave, Fenton, Missouri |
| Authorized Official Name and Position | James E Bieser (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3148225900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban West Internal Medicine 1011 Bowles Ave Suite 300 Fenton MO 63026-2387 Ph: (636) 496-5000 | Suburban West Internal Medicine 1011 Bowles Ave Suite 300 Fenton MO 63026-2387 Ph: (636) 496-5000 |
| NPI Number | 1023218898 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023218898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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