| Edward A. Puro, M.d.p.c. | |
| 
					11115 New Halls Ferry Rd Suite 306 Florissant MO 63033-7613  | |
| (314) 838-0222 | |
| (314) 838-0234 | 
| Full Name | Edward A. Puro, M.d.p.c. | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 11115 New Halls Ferry Rd, Florissant, Missouri | 
| Authorized Official Name and Position | Edward A Puro (PRESIDENT) | 
| Authorized Official Contact | 3148380222 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward A. Puro, M.d.p.c. 11115 New Halls Ferry Rd Suite 306 Florissant MO 63033-7613 Ph: (314) 838-0222  | Edward A. Puro, M.d.p.c. 11115 New Halls Ferry Rd Suite 306 Florissant MO 63033-7613 Ph: (314) 838-0222  | 
| NPI Number | 1629381751 | 
|---|---|
| Provider Enumeration Date | 07/19/2010 | 
| Last Update Date | 07/19/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629381751 | NPI | - | NPPES | 
| 201874203 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R7135 (Missouri) | Primary | 
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Suite 220, Florissant, MO 63031 Phone: 314-838-6700 Fax: 314-838-6020  | |
Kim Lee Mcdonald, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4585 Washington St, Suite C4, Florissant, MO 63033 Phone: 314-838-8839 Fax: 314-838-4291  | |
Physician Groups Lc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Graham Rd, Suite 101, Florissant, MO 63031 Phone: 314-831-6737 Fax: 314-831-9269  | |
Ssm Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Shackelford Rd, Florissant, MO 63031 Phone: 314-921-4420 Fax: 314-921-6086  | |
Chambers Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3533 Dunn Rd, Suite 204, Florissant, MO 63033 Phone: 314-831-2600 Fax: 314-831-5393  | |
Chandra S. Kaup,m.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 Graham Rd, Suite 2006, Florissant, MO 63031 Phone: 314-830-5233 Fax: 314-830-5225  | |
Total Access Urgent Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Highway 67 St, Florissant, MO 63031 Phone: 314-961-2255 Fax: 314-270-3694  |