Organization
WATSON MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A. MILLER M.D. (PRESIDENT)
(314) 842-1600
Entity
Organization
Contact information
Practice address
3844 S LINDBERGH BLVD, SUITE 230, SAINT LOUIS, MO 63127-1368
(314) 842-1600
(314) 842-1601
Mailing address
3844 S LINDBERGH BLVD, SUITE 230, SAINT LOUIS, MO 63127-1368
(314) 842-1600
(314) 842-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102049
MO
Other
Enumeration date
04/03/2007
Last updated
11/16/2007
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