| Edward A. Puro, M.d.p.c. | |
|
11115 New Halls Ferry Rd Suite 306 Florissant MO 63033-7613 | |
| (314) 838-0222 | |
| (314) 838-0234 |
| Full Name | Edward A. Puro, M.d.p.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11115 New Halls Ferry Rd, Florissant, Missouri |
| Authorized Official Name and Position | Edward A Puro (PRESIDENT) |
| Authorized Official Contact | 3148380222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A. Puro, M.d.p.c. 11115 New Halls Ferry Rd Suite 306 Florissant MO 63033-7613 Ph: (314) 838-0222 | Edward A. Puro, M.d.p.c. 11115 New Halls Ferry Rd Suite 306 Florissant MO 63033-7613 Ph: (314) 838-0222 |
| NPI Number | 1629381751 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629381751 | NPI | - | NPPES |
| 201874203 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R7135 (Missouri) | Primary |
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› Verified 3 days ago
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