# DES PERES MEDICAL SPECIALIST

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

## Provider details

- **NPI number:** 1336216902
- **Authorized official:** DR. MICHAEL DAVID IMPEY D.O. (INTERNAL MEDICINE & CRITICAL CARE)
- **Authorized official phone:** (314) 821-3111

## Contact information

- **Practice address:** 2355 DOUGHERTY FERRY RD, SUITE 408, SAINT LOUIS, MO 63122-3325
- **Practice address phone:** (314) 821-3111
- **Practice address fax:** (314) 821-8846
- **Mailing address:** PO BOX 790056, SAINT LOUIS, MO 63179-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | R9B88 | MO | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020