Webster Family Physicians, P.c. | |
7979 Big Bend Blvd Saint Louis MO 63119-2703 | |
(314) 961-6631 | |
(314) 961-4796 |
Full Name | Webster Family Physicians, P.c. |
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Speciality | Family Medicine |
Location | 7979 Big Bend Blvd, Saint Louis, Missouri |
Authorized Official Name and Position | Christian Wessling (OWNER) |
Authorized Official Contact | 3149616631 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Webster Family Physicians, P.c. 7979 Big Bend Blvd Saint Louis MO 63119-2703 Ph: (314) 961-6631 | Webster Family Physicians, P.c. 7979 Big Bend Blvd Saint Louis MO 63119-2703 Ph: (314) 961-6631 |
NPI Number | 1235304494 |
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Provider Enumeration Date | 04/28/2008 |
Last Update Date | 04/28/2008 |
Medicare PECOS PAC ID | 8325008196 |
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Medicare Enrollment ID | O20041015000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235304494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36454 (Missouri) | Primary |
Provider Name | Christian Wessling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174611255 PECOS PAC ID: 4385707520 Enrollment ID: I20110405000089 |
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