Organization
TRI DOCTORS REHABILITATION GROUP PC
Active
Parent organization
TRI DOCTOR REHABILITATION GROUP PC
Other names
CompleteCare Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI DOCTOR REHABILITATION GROUP PC
Authorized official
DR. MICHAEL S BUTLER D.C.,R NCS T (MEMBER)
(636) 394-1200
Entity
Organization
Contact information
Practice address
11911 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3200
(636) 394-1200
(314) 569-1623
Mailing address
11911 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3200
(636) 394-1200
(314) 569-1623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107758
BLUE CROSS BLUE SHIELD
MO
01
—
44 50059
UNITED HEALTH CARE
MO
Enumeration date
01/03/2007
Last updated
01/31/2014
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