Organization
RICK HUMMEL MD PC
Active
Organization
RICK HUMMEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK G HUMMEL MD (PRESIDENT)
(314) 741-1400
Entity
Organization
Contact information
Practice address
11155 DUNN RD, 201N, ST LOUIS, MO 63136
(314) 741-1400
(314) 741-0175
Mailing address
11155 DUNN RD, 201N, ST LOUIS, MO 63136
(314) 741-1400
(314) 741-0175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3D69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150936
BC
MO
05
—
202626305
—
MO
01
—
31886
GHP
MO
01
—
CI5813
RR MEDICARE
MO
Enumeration date
01/22/2008
Last updated
05/01/2008
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