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NPI Code Detail

MEDICARE: CONCIERGE CARE LLC

MEDICARE: CONCIERGE CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician
2207R00000XInternal Medicine Physician20060253323MO

General Provider Information

NPI Number : 1073894143
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONCIERGE CARE LLC
Provider Business Mailing Address
First Line : 536 N TAYLOR AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1888
Country : US
Telephone Number : 314-449-1143
Fax Number : 314-449-1724
Provider Business Practice Location Address
First Line : 536 N TAYLOR AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-1888
Country : US
Telephone Number : 314-449-1143
Fax Number : 314-449-1724
Authorized Official
Title or Position : PHYSICIAN
Name : UCHENNA CHRISTOPHER OGBUOKIRI
Credential : MD
Telephone Number : 314-703-8609
Provider Enumeration Date : 09/02/2011
Last Update Date : 03/05/2025

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Directions to “CONCIERGE CARE LLC ” Practice Location

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