Organization · Type 2 NPI
St. Kolbe-Puckett Center for Healing Inc
Addiction Medicine (Family Medicine) Physician · St. Joseph, MO
NPI number
1114498698
Active
Practice location
210 N 7th St
St. Joseph, MO 64501-1906
Fax (816) 259-5259
Mailing address
970 Tara Oaks Dr
Chesterfield, MO 63005-3654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1114498698
St. Kolbe-Puckett Center for Healing Inc's National Provider Identifier is 1114498698, issued on Dec 10, 2018. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in St. Joseph, MO. The record was last updated on May 1, 2019.