# INTEGRA PHYSICIANS URGENT CARE CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Des Peres Urgent Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740319284
- **Authorized official:** IRWIN S. PLISCO MD (OWNER)
- **Authorized official phone:** (314) 579-0339

## Contact information

- **Practice address:** 12161 MANCHESTER RD, SAINT LOUIS, MO 63131-4310
- **Practice address phone:** (314) 965-7800
- **Mailing address:** 1836 LACKLAND HILL PKWY, ATTN CREDENTIALING DEPARTMENT, SAINT LOUIS, MO 63146-3572
- **Mailing address phone:** (314) 989-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | R8E05 | MO | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 11/12/2007