Organization · Type 2 NPI
Crossroads Clinic Volunteers In Medicine
General Practice Physician · Lake St. Louis, MO
NPI number
1053117598
Active
Practice location
10890 Veterans Memorial Parkway
Lake St. Louis, MO 63367
Fax (636) 625-3534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Lake St. Louis
About NPI 1053117598
Crossroads Clinic Volunteers In Medicine's National Provider Identifier is 1053117598, issued on Feb 24, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Feb 24, 2025.