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NPI Code Detail

MEDICARE: MDPAL PHYSICIANS, P.C.

MEDICARE: MDPAL PHYSICIANS, P.C.
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
1174400000XSpecialist

General Provider Information

NPI Number : 1093407678
Entity Type Code : Organization
Provider Name (Legal Business Name) : MDPAL PHYSICIANS, P.C.
Provider Business Mailing Address
First Line : 119 S MAIN ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 N JACKSON ST STE 605
Second Line :
City : MONTGOMERY
State : AL
Zip : 36104-3821
Country : US
Telephone Number : 314-609-3435
Fax Number :
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : JOE MURRAY
Credential :
Telephone Number : 314-609-3435
Provider Enumeration Date : 05/23/2023
Last Update Date : 05/23/2023

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Directions to “MDPAL PHYSICIANS, P.C. ” Practice Location

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