Healthcare Provider Details

I. General information

NPI: 1053341867
Provider Name (Legal Business Name): HEALTHWEST,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E 6TH ST
WASHINGTON MO
63090-3308
US

IV. Provider business mailing address

2203 DEVONSBROOK DR
CHESTERFIELD MO
63005-4519
US

V. Phone/Fax

Practice location:
  • Phone: 636-239-1766
  • Fax: 636-239-2964
Mailing address:
  • Phone: 314-330-4587
  • Fax: 636-530-9702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VIACHESLAV PLATONOV
Title or Position: MANAGER
Credential: MD
Phone: 314-330-4587