Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1922052430
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
916, Talon Drive, Carbon, O'Fallon, Saint Clair County, Illinois, 62269, United States
SUITE 102
O FALLON, IL 622691848
Phone: (618) 628-8211
Fax: (618) 628-0883
Type: Location
32, West Old Watson Road, Webster Gardens, Webster Groves, Saint Louis County, Missouri, 63119, United States
WEBSTER GROVES, MO 631195122
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62269)
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