Organization · Type 2 NPI
MBS Advantage Inc
General Practice Physician · St. Louis, MO
NPI number
1083612253
Active
Practice location
11618 Gravois Rd
St. Louis, MO 63126-3014
Fax (314) 842-9185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 207927 (IL) |
| General Practice Physician Primary | 208D00000X | 000014833 (MO) |
| Speech-Language Pathologist | 235Z00000X | 102623 (MO) |
| Speech-Language Pathologist | 235Z00000X | 146004057 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in St. Louis
- Blue Bayou Service IncGeneral Practice Physician St. Louis, MO NPI 1144577305
- Summit Primary Care LLCGeneral Practice Physician St. Louis, MO NPI 1164702270
- Doctor's On the Way, IncGeneral Practice Physician St. Louis, MO NPI 1235550385
- Integrated Medical Group, LLCGeneral Practice Physician St. Louis, MO NPI 1265327076
- Christian Hospital Northeast- NorthwestGeneral Practice Physician St. Louis, MO NPI 1265440150
- Kismet Medical Consulting LLCGeneral Practice Physician St. Louis, MO NPI 1275187999
- Barnes Jewish HospitalGeneral Practice Physician St. Louis, MO NPI 1407215734
- Integrated Pain Group, LLCGeneral Practice Physician St. Louis, MO NPI 1417820598
About NPI 1083612253
MBS Advantage Inc's National Provider Identifier is 1083612253, issued on Jul 12, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 11, 2012.