Healthcare Provider Details

I. General information

NPI: 1346228202
Provider Name (Legal Business Name): ON CALL PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2006
Last Update Date: 12/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 HAMPTON AVE
SAINT LOUIS MO
63139-2908
US

IV. Provider business mailing address

2331 HAMPTON AVE
SAINT LOUIS MO
63139-2908
US

V. Phone/Fax

Practice location:
  • Phone: 314-647-7200
  • Fax: 314-646-0920
Mailing address:
  • Phone: 314-647-7200
  • Fax: 314-646-0920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DEVON N GOLDING
Title or Position: PRESIDENT
Credential: MD
Phone: 314-772-1441