Organization
COMPRECARE MEDICAL, LLC
Active
Organization
COMPRECARE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALTSHELER JR. MD (PHYSICIAN/OWNER)
(314) 739-3990
Entity
Organization
Contact information
Practice address
3440 DE PAUL LN, SUITE 110, BRIDGETON, MO 63044-3545
(314) 739-3990
(314) 739-3924
Mailing address
3440 DE PAUL LN, SUITE 110, BRIDGETON, MO 63044-3545
(314) 739-3990
(314) 739-3924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5898
RR MEDICARE GROUP#
MO
Enumeration date
07/28/2008
Last updated
08/13/2013
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