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NPI Code Detail

MEDICARE: PATIENTS FIRST HEALTH CARE LLC

MEDICARE: PATIENTS FIRST HEALTH CARE 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1568627164
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATIENTS FIRST HEALTH CARE LLC
Provider Business Mailing Address
First Line : 901 PATIENTS FIRST DR
Second Line :
City : WASHINGTON
State : MO
Zip : 63090-4700
Country : US
Telephone Number : 636-390-1400
Fax Number : 636-239-5166
Provider Business Practice Location Address
First Line : 1001 CARDWELL ST
Second Line :
City : SAINT CLAIR
State : MO
Zip : 63077-1094
Country : US
Telephone Number : 636-629-3300
Fax Number :
Authorized Official
Title or Position : CHAIRMAN
Name : MICHAEL E RAU
Credential : M.D.
Telephone Number : 636-390-1400
Provider Enumeration Date : 07/23/2008
Last Update Date : 02/28/2010

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Directions to “PATIENTS FIRST HEALTH CARE LLC ” Practice Location

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