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Organization

EUREKA MEDICAL LLC

Active
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Organization

EUREKA MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID LAWRENCE PITTENGER D.O. (CONTROLING OWNER)
(636) 938-6060
Entity
Organization

Contact information

Practice address
97 HILL TOP VILLAGE CENTER, SUITE E & F, EUREKA, MO 63025-1184
(636) 938-6060
(636) 587-9712
Mailing address
97 HILL TOP VILLAGE CENTER, SUITE E & F, EUREKA, MO 63025-1184
(636) 938-6060
(636) 587-9712

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D030648
MO
207R00000X
Internal Medicine Physician
2002004657
MO

Other

Enumeration date
09/14/2006
Last updated
02/04/2010
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