| George H Dowell, Md, Llc | |
|
11477 Olde Cabin Rd Ste 210 Creve Coeur MO 63141-7129 | |
| (314) 997-5208 | |
| (314) 997-5368 |
| Full Name | George H Dowell, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11477 Olde Cabin Rd Ste 210, Creve Coeur, Missouri |
| Authorized Official Name and Position | Tracy Green (BILLING MANAGER) |
| Authorized Official Contact | 3146281440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George H Dowell, Md, Llc 11477 Olde Cabin Rd Ste 210 Creve Coeur MO 63141-7129 Ph: (314) 997-5208 | George H Dowell, Md, Llc 11477 Olde Cabin Rd Ste 210 Creve Coeur MO 63141-7129 Ph: (314) 997-5208 |
| NPI Number | 1376000307 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 02/26/2019 |
| Medicare PECOS PAC ID | 2365783206 |
|---|---|
| Medicare Enrollment ID | O20190403000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376000307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | George Dowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750491130 PECOS PAC ID: 1153457874 Enrollment ID: I20100331001026 |
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