Boonslick Medical Group Inc in Saint Peters - Internal Medicine
Boonslick Medical Group Inc - NPI 1588662803
Boonslick Medical Group Inc is a Internal Medicine in Saint Peters, Missouri. Boonslick Medical Group Inc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Boonslick Medical Group Inc is 1588662803. The last update date is 2022-07-21.
Boonslick Medical Group Inc's current location address is 201 Bjc Saint Peters Dr, Saint Peters, Missouri. You can contact this provider via phone number 6369168228 and fax number 6369465774. The mailing address for Boonslick Medical Group Inc is 201 Bjc Saint Peters Dr, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boonslick Medical Group Inc |
|---|---|
| Address | 201 Bjc Saint Peters Dr, Saint Peters, Missouri |
| Phone Number | 6369168228 |
| Fax Number | 6369465774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Cusworth B Robert |
| Credentials | MD |
| Telephone Number | 6369168228 |
NPI Number Detail
| NPI Number | 1588662803 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 201 Bjc Saint Peters Dr |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633763091 |
| Phone Number | 6369168228 |
| Fax Number | 6369465774 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 430954457 |
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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 unique provider identifier assigned to Boonslick Medical Group Inc?
The Boonslick Medical Group Inc has been issued the NPI (National Provider Identifier) 1588662803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Boonslick Medical Group Inc?
The Boonslick Medical Group Inc is situated at 201 Bjc Saint Peters Dr, in the city of Saint Peters, state of MO, with the zip code 633763091.
Could you please share the complete physical address where Boonslick Medical Group Inc is geographically located?
The Boonslick Medical Group Inc is physically situated at the following location: 201 Bjc Saint Peters Dr, Saint Peters, MO, 633763091.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588662803 to Boonslick Medical Group Inc?
The Centers for Medicare & Medicaid Services originally issued the 1588662803 to Boonslick Medical Group Inc on 2005-07-11.
When was the information regarding Boonslick Medical Group Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Boonslick Medical Group Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.