| St Peters Family Medicine, Llc | |
|
5770 Mexico Road Ste #d St. Peters MO 63376-1637 | |
| (636) 926-0558 | |
| (636) 926-8141 |
| Full Name | St Peters Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5770 Mexico Road, St. Peters, Missouri |
| Authorized Official Name and Position | Talena C Hubbard (OFFICE MANAGER) |
| Authorized Official Contact | 6369260558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Peters Family Medicine, Llc 5770 Mexico Road Ste #d St. Peters MO 63376-1637 Ph: (636) 926-0558 | St Peters Family Medicine, Llc 5770 Mexico Road Ste #d St. Peters MO 63376-1637 Ph: (636) 926-0558 |
| NPI Number | 1609867134 |
|---|---|
| Provider Enumeration Date | 11/03/2005 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609867134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |