Organization
DOCTORS ON THE GO1 L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS MIKHLIN (OWNER)
(314) 216-0838
Entity
Organization
Contact information
Practice address
1515 N WARSON RD, 249, OLIVETTE, MO 63132-1111
(314) 925-7595
Mailing address
1515 N WARSON RD, 249, OLIVETTE, MO 63132-1111
(314) 925-7595
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
06/20/2016
Last updated
06/28/2016
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