| Kirk E. Brockman M.d. Dba St. Clair Medical Center | |
|
370 N Commercial Ave Saint Clair MO 63077-1305 | |
| (636) 629-3300 | |
| (636) 629-7377 |
| Full Name | Kirk E. Brockman M.d. Dba St. Clair Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 370 N Commercial Ave, Saint Clair, Missouri |
| Authorized Official Name and Position | Kirk Edward Brockman (OWNER) |
| Authorized Official Contact | 6366293300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk E. Brockman M.d. Dba St. Clair Medical Center 370 N Commercial Ave Saint Clair MO 63077-1305 Ph: (636) 629-3300 | Kirk E. Brockman M.d. Dba St. Clair Medical Center 370 N Commercial Ave Saint Clair MO 63077-1305 Ph: (636) 629-3300 |
| NPI Number | 1659428050 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659428050 | NPI | - | NPPES |
| 500013503 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R2F53 (Missouri) | Primary |
Mobile Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 662 Haven Hill Ln, Saint Clair, MO 63077 Phone: 314-540-9295 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Cardwell St, Saint Clair, MO 63077 Phone: 636-629-3300 | |
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