Organization · Type 2 NPI

Missouri Baptist Hospital of Sullivan

Family Medicine Physician · St. Clair, MO

NPI number 1790953909 Active

Practice location

875 N Commercial Ave
St. Clair, MO 63077-1118

Fax (636) 629-7464

Mailing address

670 Mason Ridge Center Dr, Ste. 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone 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.

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About NPI 1790953909

Missouri Baptist Hospital of Sullivan's National Provider Identifier is 1790953909, issued on Feb 11, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Clair, MO. The record was last updated on Feb 11, 2008.