Organization · Type 2 NPI

Metro Medical Clinic, LLC

Adult Medicine Physician · St. Louis, MO

NPI number 1922585389 Active

Practice location

5000 Cedar Plaza Pkwy Ste 300
St. Louis, MO 63128-3891

Call (314) 647-9797 Map

Mailing address

11115 New Halls Ferry Rd
Florissant, MO 63033-7613

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XR6047 (MO)
Cardiovascular Disease Physician 207RC0000XR6047 (MO)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

11 other providers at this address

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About NPI 1922585389

Metro Medical Clinic, LLC's National Provider Identifier is 1922585389, issued on Jul 27, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in St. Louis, MO. The record was last updated on Oct 20, 2018.