Organization · Type 2 NPI

Missouri Mso LLC

Family Medicine Physician · Florissant, MO

NPI number 1538041769 Active

Practice location

1501 Charbonier Rd
Florissant, MO 63031-5308

Mailing address

4770 White Plains Rd
Bronx, NY 10470-1136

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1538041769

Missouri Mso LLC's National Provider Identifier is 1538041769, issued on Jul 21, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Florissant, MO. The record was last updated on Jan 8, 2026.