Organization · Type 2 NPI

Senior Doc Missouri PC

Family Medicine Physician · St. Louis, MO

NPI number 1023983848 Active

Practice location

2055 Craigshire Dr Ste 410
St. Louis, MO 63146-4012

Mailing address

5 Hutton Centre Dr Ste 950
Santa Ana, CA 92707-8744

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1023983848

Senior Doc Missouri PC's National Provider Identifier is 1023983848, issued on Oct 9, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 9, 2025.