| Edwardo D Verzola Md Pc | |
|
1004 Herculaneum Industrial Dr Herculaneum MO 63048-1507 | |
| (636) 937-8675 | |
| (636) 933-1981 |
| Full Name | Edwardo D Verzola Md Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1004 Herculaneum Industrial Dr, Herculaneum, Missouri |
| Authorized Official Name and Position | Edwardo D Verzola (CEO) |
| Authorized Official Contact | 6369378675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwardo D Verzola Md Pc 1004 Herculaneum Industrial Dr P O Box 127 Herculaneum MO 63048-1507 Ph: (636) 937-8675 | Edwardo D Verzola Md Pc 1004 Herculaneum Industrial Dr Herculaneum MO 63048-1507 Ph: (636) 937-8675 |
| NPI Number | 1043548506 |
|---|---|
| Provider Enumeration Date | 11/20/2009 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043548506 | NPI | - | NPPES |
| 00094938 | Other | MEDICARE PROVIDER # | |
| 2000161966 | Other | MO | MO LICENSE |
| VE205099708 | Medicaid | MO | |
| 10856311 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2000161966 (Missouri) | Primary |
Compass Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Senn Tomas Dr, Herculaneum, MO 63048 Phone: 636-277-6096 Fax: 636-224-6776 |