Generations Family Medicine Pc | |
1035 Bellevue Ave Suite 206 St Louis MO 63117-1846 | |
(314) 781-4922 | |
(314) 645-0158 |
Full Name | Generations Family Medicine Pc |
---|---|
Speciality | Family Medicine |
Location | 1035 Bellevue Ave, St Louis, Missouri |
Authorized Official Name and Position | Andrea A Baxter (PRESIDENT) |
Authorized Official Contact | 3147814922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Generations Family Medicine Pc 1035 Bellevue Ave Suite 206 St Louis MO 63117-1846 Ph: (314) 781-4922 | Generations Family Medicine Pc 1035 Bellevue Ave Suite 206 St Louis MO 63117-1846 Ph: (314) 781-4922 |
NPI Number | 1023048907 |
---|---|
Provider Enumeration Date | 07/04/2006 |
Last Update Date | 12/13/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023048907 | NPI | - | NPPES |
509156709 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2000154561 (Missouri) | Primary |
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› Verified 8 days ago
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