Organization
WEST COUNTY INFECTIOUS DISEASE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POLLY K DAVID MD (OWNER)
(314) 477-9827
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD STE 392, SAINT LOUIS, MO 63128-2141
(636) 489-1602
(636) 600-5294
Mailing address
16918 WESTRIDGE OAKS DR, GROVER, MO 63040-1127
(636) 566-8155
(636) 566-8732
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
MO
Other
Enumeration date
08/26/2014
Last updated
01/06/2023
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