Organization · Type 2 NPI

Blue Bayou Service Inc

General Practice Physician · St. Louis, MO

NPI number 1144577305 Active

Practice location

1310 Papin St
St. Louis, MO 63103-3132

Call (314) 502-1300 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X12345 (MO)

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

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About NPI 1144577305

Blue Bayou Service Inc's National Provider Identifier is 1144577305, issued on Aug 7, 2012. 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 Sep 18, 2012.