| Stephen Veluz MD, LLC | |
|
6420 Clayton Rd Saint Louis MO 63117-1811 | |
| (314) 768-8000 | |
| (636) 942-2223 |
| Full Name | Stephen Veluz MD, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6420 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Sephen Veluz (OWNER) |
| Authorized Official Contact | 6369422223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Veluz MD, LLC 8747 White Ave Saint Louis MO 63144-2029 Ph: (314) 413-7579 | Stephen Veluz MD, LLC 6420 Clayton Rd Saint Louis MO 63117-1811 Ph: (314) 768-8000 |
| NPI Number | 1124206024 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 05/15/2008 |
| Medicare PECOS PAC ID | 3577646843 |
|---|---|
| Medicare Enrollment ID | O20080208000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124206024 | NPI | - | NPPES |
| 204470009 | Medicaid | MO | |
| 890179 | Other | MO | HEALTHLINK |
| 220858 | Other | MO | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006020986 (Missouri) | Primary |
| Provider Name | Stephen Veluz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730293192 PECOS PAC ID: 0244313518 Enrollment ID: I20080208000455 |
| Provider Name | Joseph J Grassino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215202510 PECOS PAC ID: 2062676034 Enrollment ID: I20120604000562 |
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