Crestview Medical Associates, Llc in Lake St Louis - Internal Medicine
Crestview Medical Associates, Llc - NPI 1750351581
Crestview Medical Associates, Llc is a Internal Medicine in Lake St Louis, Missouri. Crestview Medical Associates, Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Crestview Medical Associates, Llc is 1750351581. The last update date is 2007-09-28.
Crestview Medical Associates, Llc's current location address is 107 Brevco Plz, Lake St Louis, Missouri. You can contact this provider via phone number 6365618100 and fax number 6365613396. The mailing address for Crestview Medical Associates, Llc is 107 Brevco Plz, Lake St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestview Medical Associates, Llc |
|---|---|
| Address | 107 Brevco Plz, Lake St Louis, Missouri |
| Phone Number | 6365618100 |
| Fax Number | 6365613396 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Vatterott Barto Paul |
| Credentials | M.D. |
| Telephone Number | 6365618100 |
NPI Number Detail
| NPI Number | 1750351581 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 107 Brevco Plz |
|---|---|
| City | Lake St Louis |
| State | Missouri (MO) |
| Post Code | 633671399 |
| Phone Number | 6365618100 |
| Fax Number | 6365613396 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 207R0000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Crestview Medical Associates, Llc's 1750351581?
The Crestview Medical Associates, Llc's NPI (National Provider Identifier) Number is 1750351581. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Crestview Medical Associates, Llc is geographically located?
The Crestview Medical Associates, Llc is physically situated at the following location: 107 Brevco Plz, Lake St Louis, MO, 633671399.
What is Crestview Medical Associates, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Crestview Medical Associates, Llc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750351581 to Crestview Medical Associates, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1750351581 to Crestview Medical Associates, Llc on 2006-01-24.
When was the Crestview Medical Associates, Llc's information last updated?
The Crestview Medical Associates, Llc's information was last updated on 2007-09-28.