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NPI Code Detail

MEDICARE: DENNIS G MOTCHAN M.D.

MEDICARE: DENNIS G MOTCHAN M.D.
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
12083X0100XOccupational Medicine Physician6154MO

General Provider Information

NPI Number : 1912025594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS G MOTCHAN M.D.
Provider Business Mailing Address
First Line : 8340 N BROADWAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63147-2333
Country : US
Telephone Number : 314-385-9563
Fax Number : 314-385-9350
Provider Business Practice Location Address
First Line : 8340 N BROADWAY
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63147-2333
Country : US
Telephone Number : 314-385-9563
Fax Number : 314-385-9350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 11/07/2011

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Directions to “ DENNIS G MOTCHAN M.D.” Practice Location

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