MEDICARE: JAMES E. BELCHER MD ,INC

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
1	207V00000X	Obstetrics & Gynecology Physician	R4B50	MO

General Provider Information

NPI Number	:	1922243385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES E. BELCHER MD ,INC

Provider Business Mailing Address
First Line	:	1110 HIGHLANDS PLZ DR.
Second Line	:	SUITE 200
City	:	ST.LOUIS
State	:	MO
Zip	:	63110-1340
Country	:	US
Telephone Number	:	314-361-6500
Fax Number	:	314-361-3446

Provider Business Practice Location Address
First Line	:	1110 HIGHLANDS PLZ DR.
Second Line	:	SUITE 200
City	:	ST.LOUIS
State	:	MO
Zip	:	63110-1340
Country	:	US
Telephone Number	:	314-361-6500
Fax Number	:	314-361-3446

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES EDWARD BELCHER
Credential	:	M.D.
Telephone Number	:	313-361-6500

Provider Enumeration Date	:	12/12/2008
Last Update Date	:	12/18/2008

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