Unknown Individual – Psychiatry Physician, NPI 1063433670
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
110, North Mill Street, Festus, Jefferson County, Missouri, 63028, United States
FESTUS, MO 630281816
Phone: (636) 931-2700
Fax: (636) 931-1961
Type: Location
227, East Main Street, Festus, Jefferson County, Missouri, 63028, United States
FESTUS, MO 630281952
Phone: (636) 931-2700
Fax: (636) 931-5304
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63028)
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