| Premise Health Of Missouri Medical, P.c. | |
|
2424 Zumbehl Rd Saint Charles MO 63301-1131 | |
| (636) 443-4561 | |
| Not Available |
| Full Name | Premise Health Of Missouri Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2424 Zumbehl Rd, Saint Charles, Missouri |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Missouri Medical, P.c. 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Missouri Medical, P.c. 2424 Zumbehl Rd Saint Charles MO 63301-1131 Ph: (636) 443-4561 |
| NPI Number | 1174296024 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174296024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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