BRIDGETON GERIATRICS LLC

BRIDGETON, MO
NPI1245652924
Entity TypeOrganization
Authorized ContactDAVID A SMITH
Owner
314-551-0338
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  104361)
Enumeration Date2014-01-14
Last Update Date2014-01-14
Business Address
BRIDGETON GERIATRICS LLC
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-551-0338
Mailing Address
BRIDGETON GERIATRICS LLC
12800 BOENKER LN
BRIDGETON, MO 63044-2438
Phone number: 314-551-0338
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