# DES PERES FAMILY MEDICINE PC

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

## Provider details

- **NPI number:** 1740435304
- **Authorized official:** DR. DEMETRIOS V POLITIS DO (PRESIDENT)
- **Authorized official phone:** (314) 965-1965

## Contact information

- **Practice address:** 2325 DOUGHERTY FERRY RD, SUITE 104, SAINT LOUIS, MO 63122-3356
- **Practice address phone:** (314) 965-1965
- **Practice address fax:** (314) 965-1700
- **Mailing address:** 2325 DOUGHERTY FERRY RD, SUITE 104, SAINT LOUIS, MO 63122-3356
- **Mailing address phone:** (314) 965-1965
- **Mailing address fax:** (314) 965-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | P00924526 | MO | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 11/24/2008