| West County Family Care Pc | |
|
1574 Woodlake Dr Chesterfield MO 63017-5712 | |
| (314) 542-2077 | |
| (314) 434-1406 |
| Full Name | West County Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1574 Woodlake Dr, Chesterfield, Missouri |
| Authorized Official Name and Position | John Patrick Stein (PRESIDENT) |
| Authorized Official Contact | 3145422077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Family Care Pc 1574 Woodlake Dr Chesterfield MO 63017-5712 Ph: (314) 542-2077 | West County Family Care Pc 1574 Woodlake Dr Chesterfield MO 63017-5712 Ph: (314) 542-2077 |
| NPI Number | 1780759290 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/01/2015 |
| Medicare PECOS PAC ID | 7416037122 |
|---|---|
| Medicare Enrollment ID | O20080108000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780759290 | NPI | - | NPPES |
| DG5339 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 108833 (Missouri) | Primary |
| Provider Name | John P Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629143219 PECOS PAC ID: 4880774595 Enrollment ID: I20080108000347 |
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