| Affton Medical Clinic | |
|
84 Grasso Plaza St Louis MO 63123 | |
| (314) 638-9309 | |
| (314) 637-9333 |
| Full Name | Affton Medical Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 84 Grasso Plaza, St Louis, Missouri |
| Authorized Official Name and Position | Rubilinda Casino (PRESIDENT) |
| Authorized Official Contact | 3146389309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affton Medical Clinic Po Box 4341 Saint Louis MO 63123-0141 Ph: (314) 638-9309 | Affton Medical Clinic 84 Grasso Plaza St Louis MO 63123 Ph: (314) 638-9309 |
| NPI Number | 1528251337 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528251337 | NPI | - | NPPES |
| 50291440 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
Slucare Department Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 South Grand, 2l, Door 3,4, St Louis, MO 63104 Phone: 314-977-6164 | |
Generations Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Bellevue Ave, Suite 206, St Louis, MO 63117 Phone: 314-781-4922 Fax: 314-645-0158 | |
Jianmei Liu, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6400 Clayton Ave, Suite 401, St Louis, MO 63117 Phone: 314-644-6500 Fax: 314-644-6501 | |
John M Laird Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Road, Suite 230a, St Louis, MO 63131 Phone: 314-872-3620 Fax: 314-872-9003 | |
Rick Hummel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11155 Dunn Rd, 201n, St Louis, MO 63136 Phone: 314-741-1400 Fax: 314-741-0175 | |
Midwest Gastroenterology & Hepatology Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, #1001b, St Louis, MO 63141 Phone: 314-251-5660 Fax: 314-251-5663 | |
Rheumatology & Internal Medicine Associates Of West County Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3023 N Ballas Road, Professional Office Building D Suite 500, St Louis, MO 63131 Phone: 314-567-4541 Fax: 314-569-3647 |