Unknown Individual – Family Medicine Physician, NPI 1174518070
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 790129
DEPT EC
SAINT LOUIS, MO 631790129
Phone: (800) 968-6866
Type: Mailing
SSM Health Saint Joseph Hospital - Wentzville, 500, Medical Drive, Wentzville, Saint Charles County, Missouri, 63385, United States
WENTZVILLE, MO 633853421
Phone: (636) 327-1100
Type: Location
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 63179)
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