| Private MD, LLC | |
|
11455 Olive Blvd Creve Coeur MO 63141-7108 | |
| (314) 322-0337 | |
| Not Available |
| Full Name | Private MD, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 11455 Olive Blvd, Creve Coeur, Missouri |
| Authorized Official Name and Position | Helen Gelhot (OWNER) |
| Authorized Official Contact | 3143220337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private MD, LLC 25 Williamsburg Rd Creve Coeur MO 63141-8136 | Private MD, LLC 11455 Olive Blvd Creve Coeur MO 63141-7108 Ph: (314) 322-0337 |
| NPI Number | 1861721748 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861721748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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