| Covington Medical Group | |
|
1747 Smizer Station Rd Ste 3a Fenton MO 63026-2784 | |
| (636) 225-8855 | |
| Not Available |
| Full Name | Covington Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1747 Smizer Station Rd Ste 3a, Fenton, Missouri |
| Authorized Official Name and Position | Catherine M. Covington (OWNER) |
| Authorized Official Contact | 6362258855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Medical Group 1836 Lackland Hill Pkwy Attnt Credentialing Department Saint Louis MO 63146-3572 Ph: (314) 989-0300 | Covington Medical Group 1747 Smizer Station Rd Ste 3a Fenton MO 63026-2784 Ph: (636) 225-8855 |
| NPI Number | 1134283260 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134283260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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