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NPI Code Detail

MEDICARE: ON CALL PHYSICIANS, LLC

MEDICARE: ON CALL PHYSICIANS, LLC
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DE6549OTHERMORAILROAD MEDICARE

General Provider Information

NPI Number : 1346228202
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON CALL PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 2331 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2908
Country : US
Telephone Number : 314-647-7200
Fax Number : 314-646-0920
Provider Business Practice Location Address
First Line : 2331 HAMPTON AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63139-2908
Country : US
Telephone Number : 314-647-7200
Fax Number : 314-646-0920
Authorized Official
Title or Position : PRESIDENT
Name : DR. DEVON N GOLDING
Credential : MD
Telephone Number : 314-772-1441
Provider Enumeration Date : 01/02/2006
Last Update Date : 12/26/2007

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Directions to “ON CALL PHYSICIANS, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.