Unknown Individual – Specialist, NPI 1487692281
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Old Highway 21A, Bailey, Festus, River View Township, Jefferson County, Missouri, 63028, United States
SUITE G-20
FESTUS, MO 630284100
Phone: (636) 937-0601
Fax: (636) 933-4996
Mailing address matches the actual address.
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 63028)
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