# SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF WEST COUNTY, LLC

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

## Provider details

- **NPI number:** 1467825224
- **Authorized official:** DR. DAN GOGLIOTTI DC (OWNER)
- **Authorized official phone:** (314) 394-1923

## Contact information

- **Practice address:** 2121 BARRETT STATION RD, SAINT LOUIS, MO 63131-1606
- **Practice address phone:** (314) 394-1923
- **Mailing address:** 2121 BARRETT STATION RD, SAINT LOUIS, MO 63131-1606
- **Mailing address phone:** (314) 394-1923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | MO | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 03/03/2023
