| Rolando Larice And Associates | |
|
140 Chesterfield Commons Rd E Chesterfield MO 63005-1440 | |
| (314) 440-4709 | |
| (636) 536-9588 |
| Full Name | Rolando Larice And Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 140 Chesterfield Commons Rd E, Chesterfield, Missouri |
| Authorized Official Name and Position | Rolando A Larice (OWNER) |
| Authorized Official Contact | 3144349181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolando Larice And Associates 140 Chesterfield Commons Rd E Chesterfield MO 63005-1440 Ph: (314) 434-9181 | Rolando Larice And Associates 140 Chesterfield Commons Rd E Chesterfield MO 63005-1440 Ph: (314) 440-4709 |
| NPI Number | 1639266398 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 03/27/2020 |
| Certification Date | 03/27/2020 |
| Medicare PECOS PAC ID | 3274610647 |
|---|---|
| Medicare Enrollment ID | O20080409000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639266398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 116517 (Missouri) | Primary |
| Provider Name | Rolando A Larice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356324917 PECOS PAC ID: 3971581638 Enrollment ID: I20040709000303 |
| Provider Name | Waleska Larice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972827830 PECOS PAC ID: 3173767423 Enrollment ID: I20130926000505 |
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