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Organization

FOREST PHYSICIAN SERVICES, LLP

Active
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Organization

FOREST PHYSICIAN SERVICES, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERIK K KING (PRESIDENT)
(239) 939-1717
Entity
Organization

Contact information

Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 625-5200
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
(337) 262-7246

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
03/21/2017
Last updated
01/02/2020
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