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Organization
VALUECARE GERIATRICS 1 PC
Active
Organization
VALUECARE GERIATRICS 1 PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LIN (CHIEF EXECUTIVE OFFICER)
(314) 925-0903
Entity
Organization
Contact information
Practice address
623 HAMACHER ST, WATERLOO, IL 62298-1786
(314) 925-0903
Mailing address
10426 BAUR BLVD, SAINT LOUIS, MO 63132-1905
(314) 925-0903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/08/2026
Last updated
09/08/2026
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