| Ballwin Family Medicine Llc | |
|
653 Big Bend Rd Manchester MO 63021-7723 | |
| (314) 434-1500 | |
| Not Available |
| Full Name | Ballwin Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 653 Big Bend Rd, Manchester, Missouri |
| Authorized Official Name and Position | James Snider (DIRECTOR) |
| Authorized Official Contact | 6366857804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballwin Family Medicine Llc 653 Big Bend Rd Manchester MO 63021-7723 Ph: (314) 434-1500 | Ballwin Family Medicine Llc 653 Big Bend Rd Manchester MO 63021-7723 Ph: (314) 434-1500 |
| NPI Number | 1790204311 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790204311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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