Healthcare Provider Details

I. General information

NPI: 1093826166
Provider Name (Legal Business Name): METROPOLITAN OCCUPATIONAL MEDICINE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13613 LAKEFRONT DR
EARTH CITY MO
63045-1404
US

IV. Provider business mailing address

13613 LAKEFRONT DR
EARTH CITY MO
63045-1404
US

V. Phone/Fax

Practice location:
  • Phone: 314-298-7200
  • Fax: 314-298-7207
Mailing address:
  • Phone: 314-298-7200
  • Fax: 314-298-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH RAMSEY
Title or Position: C.O.O.
Credential:
Phone: 314-298-7200