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NPI Code Detail

MEDICARE: DR. DAVID J PRELUTSKY MD

MEDICARE: DR. DAVID J PRELUTSKY MD
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
1207R00000XInternal Medicine PhysicianR8B23MO

General Provider Information

NPI Number : 1457354276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID J PRELUTSKY MD
Provider Business Mailing Address
First Line : 2340 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2935
Country : US
Telephone Number : 314-647-2200
Fax Number : 314-647-4172
Provider Business Practice Location Address
First Line : 2340 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2935
Country : US
Telephone Number : 314-647-2200
Fax Number : 314-647-4172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/04/2025

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Directions to “ DR. DAVID J PRELUTSKY MD” Practice Location

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