Organization
BRIDGETON GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A SMITH MD (OWNER)
(314) 551-0338
Entity
Organization
Contact information
Practice address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 551-0338
(314) 551-0336
Mailing address
12800 BOENKER LN, BRIDGETON, MO 63044-2438
(314) 551-0338
(314) 551-0336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104361
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083138069
—
MO
Enumeration date
01/14/2014
Last updated
01/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us