| Johngrant Domer Coury, DO | |
| 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017-3662 | |
| (314) 548-6860 | |
| Not Available | 
| Full Name | Johngrant Domer Coury | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 
| Location | 226 S Woods Mill Rd Ste 35, Chesterfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568906691 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 2023041728 (Missouri) | Primary | 
| Entity Name | Coury Spine Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1255113403 PECOS PAC ID: 3072962885 Enrollment ID: O20231205002919 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Johngrant Domer Coury, DO 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017-3662 Ph: (314) 548-6860 | Johngrant Domer Coury, DO 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017-3662 Ph: (314) 548-6860 | 
| Dr. Brian Wegman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 224 S Woods Mill Rd Ste 330s, Chesterfield, MO 63017 Phone: 314-576-7013 Fax: 314-576-4047 | |
| Luke S Choi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14285 N. Outer Forty Rd, Suite 200, Chesterfield, MO 63195 Phone: 314-392-5060 | |
| Dr. Georgina Glogovac, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 224 S Woods Mill Rd Ste 330, Chesterfield, MO 63017 Phone: 314-576-7013 Fax: 314-590-5965 | |
| Dr. Laura Leigh Meyers, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13001 N Outer 40 Rd, Dept Orthopaedic Surgery, Ste 1c, Chesterfield, MO 63017 Phone: 314-514-3500 Fax: 314-878-7678 | |
| Dr. John Henry Peloza, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 14825 N. Outer 40 Rd, Suite 310, Chesterfield, MO 63017 Phone: 314-530-6350 Fax: 636-812-6240 | |
| Benjamin P Crane, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14825 North Outer 40 Road, Suite 200, Chesterfield, MO 63017 Phone: 314-336-2555 Fax: 314-336-2557 | |
| Timothy G Lang, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 224 S Woods Mill Rd Ste 330s, Chesterfield, MO 63017 Phone: 314-576-7013 Fax: 314-576-4047 |