# GENERATIONS FAMILY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023048907
- **Authorized official:** ANDREA A BAXTER M.D. (PRESIDENT)
- **Authorized official phone:** (314) 781-4922

## Contact information

- **Practice address:** 1035 BELLEVUE AVE, SUITE 206, ST LOUIS, MO 63117-1846
- **Practice address phone:** (314) 781-4922
- **Practice address fax:** (314) 645-0158
- **Mailing address:** 1035 BELLEVUE AVE, SUITE 206, ST LOUIS, MO 63117-1846
- **Mailing address phone:** (314) 781-4922
- **Mailing address fax:** (314) 645-0158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2000154561 | MO | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 12/13/2011