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Doctor's Clinical Group
Nurse Practitioner in Bridgeton, Missouri
NPI 1871762385

Doctor's Clinical Group is a Nurse Practitioner based in Saint Louis, MO. Doctor's Clinical Group practices in Bridgeton, MO. The NPI Number for Doctor's Clinical Group is 1871762385 and holds a License No. 29351 (Missouri).

The current practice location address for Doctor's Clinical Group is 12255 Depaul Drive Suite 865, Bridgeton, MO and can be reached out via phone at 314-291-0505 and via fax at 314-291-0747.

Location: 12255 Depaul Drive Suite 865, Bridgeton, MO, 63179-0379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871762385
Provider Name
Doctor's Clinical Group
Credential
Provider Entity Type
Organization
Address
12255 Depaul Drive Suite 865, Bridgeton, MO, 63179-0379
Phone Number
314-291-0505
Fax Number
314-291-0747
Provider Enumeration Date
02/28/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004255603 01 MO AETNA
240407908 05 MO
250759 01 MO HARMONY
3065209001 01 MO CIGNA
489409703 01 MO MERCYCARE PLUS
D92011 01 MO HUMANA
080130617 01 MO MEDICARE RAILROAD
103753 01 MO HEALTHLINK
123036 01 MO GHP
489409703 01 MO COMMUNITY CARE
01-00207 01 MO UNITED HEALTH CARE
100805 01 MO ANTHEM BC/BS
100805 01 MO BC/BS
2064 01 MO HEALTHCARE USA
77072 01 MO WELLCARE
D92011 01 MO EXCLUSIVE CHOICE
1013577 01 MO CARE PARTNERS
1940001 01 MO PARTNERS
institution
Provider Business Practice Location Address Details
Address
12255 Depaul Drive Suite 865
City
Bridgeton
State
Missouri
Zip
63044
Phone Number
314-291-0505
Fax Number
314-291-0747
person
Provider Business Mailing Address Details
Address
12255 Depaul Drive Suite 865
City
Bridgeton
State
Missouri
Zip
63044
Phone Number
314-291-0505
Fax Number
314-291-0747
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
152467 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
29351 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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