Organization · Type 2 NPI

Complex Healthcare of Des Peres LLC

Emergency Medical Services (Emergency Medicine) Physician · St. Louis, MO

NPI number 1104432640 Active

Practice location

1032 Old Des Peres Rd
St. Louis, MO 63131-1865

Mailing address

6040 Camp Bowie Blvd Ste 24
Fort Worth, TX 76116-5602

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XNone listed

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

3 other providers at this address

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About NPI 1104432640

Complex Healthcare of Des Peres LLC's National Provider Identifier is 1104432640, issued on Sep 21, 2020. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2020.