| Patrick Mcdonough LLC | |
|
12266 De Paul Dr Ste 300 Bridgeton MO 63044-2562 | |
| (314) 291-8824 | |
| (314) 291-2663 |
| Full Name | Patrick Mcdonough LLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 12266 De Paul Dr Ste 300, Bridgeton, Missouri |
| Authorized Official Name and Position | Patrick B Mcdonough (PRESIDENT) |
| Authorized Official Contact | 3142918824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Mcdonough LLC 12266 De Paul Dr Ste 300 Bridgeton MO 63044-2562 Ph: (314) 291-8824 | Patrick Mcdonough LLC 12266 De Paul Dr Ste 300 Bridgeton MO 63044-2562 Ph: (314) 291-8824 |
| NPI Number | 1659512739 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659512739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2007012223 (Missouri) | Primary |
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