| Pro Health Associates, Llc | |
|
4 Dobbs Ln Lake Saint Louis MO 63367-4216 | |
| (636) 385-3347 | |
| Not Available |
| Full Name | Pro Health Associates, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4 Dobbs Ln, Lake Saint Louis, Missouri |
| Authorized Official Name and Position | Vonda Gail Gibson (NURSE PRACTIONER, RN) |
| Authorized Official Contact | 6363853347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Health Associates, Llc Po Box 93 Wentzville MO 63385-0093 Ph: (636) 385-3347 | Pro Health Associates, Llc 4 Dobbs Ln Lake Saint Louis MO 63367-4216 Ph: (636) 385-3347 |
| NPI Number | 1245824226 |
|---|---|
| Provider Enumeration Date | 02/21/2021 |
| Last Update Date | 02/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245824226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Lakeside Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Lake Saint Louis Blvd, Lake Saint Louis, MO 63367 Phone: 636-561-2211 Fax: 636-561-2590 |