# SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF WEST COUNTY, LLC

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

## Provider details

- **NPI number:** 1538860267
- **Authorized official:** DANIEL GOGLIOTTI (OWNER)
- **Authorized official phone:** (314) 394-1923

## Contact information

- **Practice address:** 5650 MEXICO RD STE 2, SAINT PETERS, MO 63376-1696
- **Practice address phone:** (636) 875-1270
- **Practice address fax:** (636) 875-1278
- **Mailing address:** 2121 BARRETT STATION RD, SAINT LOUIS, MO 63131-1606
- **Mailing address phone:** (314) 394-1923
- **Mailing address fax:** (314) 394-1953

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2023
- **Last updated:** 03/10/2023