Organization
MD HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA PERRY (OFFICE MANAGER)
(314) 739-2900
Entity
Organization
Contact information
Practice address
11903 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2623
(314) 739-2900
Mailing address
11903 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2623
(314) 739-2900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
R9C95
MO
Other
Enumeration date
07/15/2015
Last updated
11/05/2020
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