Organization
QUAL-T-MED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY WILLIAM BURMEISTER M.D (PRESIDENT)
(314) 849-6611
Entity
Organization
Contact information
Practice address
1501 HAMPTON AVE, SAINT LOUIS, MO 63139-3038
(314) 422-7791
Mailing address
43 QUAIL WOODS DR, FENTON, MO 63026-3444
(314) 422-7791
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25858
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07310
GENCARE
—
01
—
100134
HEALTHLINK
—
01
—
1017503
CARE PARTNERS
MO
01
—
17745
ANTHEM
—
05
—
200387736
—
MO
01
—
290006733
RAILROAD MEDICARE
MO
01
—
92000
UNITED HEALTHCARE
—
Enumeration date
04/24/2007
Last updated
08/22/2011
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