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Specialist In Gastroenterology
Gastroenterology Physician in Creve Coeur, Missouri
NPI 1669523270

Specialist In Gastroenterology is a Gastroenterology Physician based in Creve Coeur, MO and is specialized in Gastroenterology. Specialist In Gastroenterology practices in Creve Coeur, MO. The NPI Number for Specialist In Gastroenterology is 1669523270 and holds a License No. R4F99 (Missouri).

The current practice location address for Specialist In Gastroenterology is 11525 Olde Cabin Rd, Creve Coeur, MO and can be reached out via phone at 314-997-0554 and via fax at 314-997-5086.

Location: 11525 Olde Cabin Rd, Creve Coeur, MO, 63141-7146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669523270
Provider Name
Specialist In Gastroenterology
Credential
Provider Entity Type
Organization
Address
11525 Olde Cabin Rd, Creve Coeur, MO, 63141-7146
Phone Number
314-997-0554
Fax Number
314-997-5086
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
501218002 05 MO
000012657 01 MO MEDICARE
CG0207 01 RAILROAD MEDICARE
31998 01 GHP
institution
Provider Business Practice Location Address Details
Address
11525 Olde Cabin Rd
City
Creve Coeur
State
Missouri
Zip
63141-7146
Phone Number
314-997-0554
Fax Number
314-997-5086
person
Provider Business Mailing Address Details
Address
11525 Olde Cabin Rd
City
Creve Coeur
State
Missouri
Zip
63141-7146
Phone Number
314-997-0554
Fax Number
314-997-5086
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
R4F99 (Missouri)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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