# MILLENNIUM MEDICAL P C

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

## Provider details

- **NPI number:** 1740460211
- **Authorized official:** DR. SOLOMON NOGUERA M.D. (CEO)
- **Authorized official phone:** (636) 931-3667

## Contact information

- **Practice address:** 1153 E GANNON DR, FESTUS, MO 63028-2611
- **Practice address phone:** (636) 931-3667
- **Mailing address:** 1153 E GANNON DR, FESTUS, MO 63028-2611
- **Mailing address phone:** (636) 931-3667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R8H32 | MO | Yes |

## Other

- **Enumeration date:** 11/13/2007
- **Last updated:** 07/12/2010