# CHESTERFIELD MEDCENTER LLC

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

## Provider details

- **NPI number:** 1063448066
- **Authorized official:** DR. VLADIMIR GELFAND MD (PHYSICIAN OWNER)
- **Authorized official phone:** (636) 537-0377

## Contact information

- **Practice address:** 1751 CLARKSON RD, CHESTERFIELD, MO 63017
- **Practice address phone:** (636) 537-0377
- **Practice address fax:** (636) 537-2655
- **Mailing address:** 1751 CLARKSON RD, CHESTERFIELD, MO 63017
- **Mailing address phone:** (636) 537-0377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 505033506 | — | MO |