Michael David Impey in St. Louis - Specialist
Michael David Impey - NPI 1508926304
Michael David Impey is a Specialist in St. Louis, Missouri. Michael David Impey practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael David Impey is 1508926304. The last update date is 2007-07-08.
Michael David Impey's current location address is 2355 Dougherty Ferry Road, St. Louis, Missouri. You can contact this provider via phone number 3148213111 and fax number 3148218846. The mailing address for Michael David Impey is 2355 Dougherty Ferry Road, St. Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael David Impey |
|---|---|
| Address | 2355 Dougherty Ferry Road, St. Louis, Missouri |
| Phone Number | 3148213111 |
| Fax Number | 3148218846 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1508926304 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2355 Dougherty Ferry Road |
|---|---|
| City | St. Louis |
| State | Missouri (MO) |
| Post Code | 63122 |
| Phone Number | 3148213111 |
| Fax Number | 3148218846 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | R9B88 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 241986835 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael David Impey by the Centers for Medicare & Medicaid Services (CMS)?
The Michael David Impey has been assigned the NPI (National Provider Identifier) 1508926304. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Michael David Impey is physically located?
The Michael David Impey is situated at the following address: 2355 Dougherty Ferry Road, St. Louis, MO 63122.
What is the Michael David Impey's specialty and taxonomy code?
The Michael David Impey's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Michael David Impey receive the assignment of its 1508926304 from the Centers for Medicare & Medicaid Services?
The Michael David Impey was issued its 1508926304 by the Centers for Medicare & Medicaid Services on 2006-12-11.
When was the information related to Michael David Impey most recently updated or refreshed?
The details pertaining to the Michael David Impey, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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