Organization
TRAV-L-MED,LLC
Active
Organization
TRAV-L-MED,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R(RAY) WILLIAM BURMEISTER M.D. (MEDICAL DIRECTOR)
(314) 842-4920
Entity
Organization
Contact information
Practice address
13131 TESSON FERRY RD, SUITE 129, SAINT LOUIS, MO 63128-3887
(314) 842-4920
(314) 842-3230
Mailing address
13131 TESSON FERRY RD, SUITE 129, SAINT LOUIS, MO 63128-3887
(314) 842-4920
(314) 842-3230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25858
MO
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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