Digestive Disease Medical Consultants, Pc in Lake St Louis - Gastroenterology

Digestive Disease Medical Consultants, Pc - NPI 1407960107

Digestive Disease Medical Consultants, Pc is a Gastroenterology in Lake St Louis, Missouri. Digestive Disease Medical Consultants, Pc practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Digestive Disease Medical Consultants, Pc is 1407960107. The last update date is 2011-03-30.

Digestive Disease Medical Consultants, Pc's current location address is 200 Brevco Plz, Lake St Louis, Missouri. You can contact this provider via phone number 6365619020 and fax number 6365616208. The mailing address for Digestive Disease Medical Consultants, Pc is 200 Brevco Plz, Lake St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Digestive Disease Medical Consultants, Pc
Address 200 Brevco Plz, Lake St Louis, Missouri
Phone Number 6365619020
Fax Number 6365616208
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE-PRESI
Authorized Official Name Cort H. David
Credentials M.D.
Telephone Number 6365619020

NPI Number Detail

NPI Number 1407960107
Provider Enumeration Date 2006-08-18
Last Updated Date 2011-03-30

Provider Mailing Address Detail

Address 200 Brevco Plz
City Lake St Louis
State Missouri (MO)
Post Code 633672949
Phone Number 6365619020
Fax Number 6365616208

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CC9057 MO RAILROAD MEDICARE GROUP #
502983109 MO --

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FAQs about Digestive Disease Medical Consultants, Pc

What is the unique 10-digit identifier code assigned to Digestive Disease Medical Consultants, Pc by the Centers for Medicare & Medicaid Services?

The Digestive Disease Medical Consultants, Pc has been issued the NPI (National Provider Identifier) 1407960107 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Digestive Disease Medical Consultants, Pc is physically located?

The Digestive Disease Medical Consultants, Pc is physically situated at the following address: 200 Brevco Plz, Lake St Louis, MO, 633672949.

What is the Digestive Disease Medical Consultants, Pc's area of specialization and corresponding taxonomy classification?

The Digestive Disease Medical Consultants, Pc's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.

On what date did the Digestive Disease Medical Consultants, Pc receive the assignment of its 1407960107 from the Centers for Medicare & Medicaid Services?

The Digestive Disease Medical Consultants, Pc was issued its 1407960107 by the Centers for Medicare & Medicaid Services on 2006-08-18.

As of what date were the Digestive Disease Medical Consultants, Pc's details last updated?

The information pertaining to the Digestive Disease Medical Consultants, Pc, including its address, specialty, and other details, was most recently updated on 2011-03-30.

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