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Organization

BI-STATE MEDICAL CONSULTANTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZAMIR EIDELMAN M.D. (PRESIDENT)
(314) 872-8740
Entity
Organization

Contact information

Practice address
605 OLD BALLAS RD, SUITE 200, SAINT LOUIS, MO 63141-7000
(314) 872-8740
(314) 432-4348
Mailing address
605 OLD BALLAS RD, SUITE 200, SAINT LOUIS, MO 63141-7000
(314) 872-8740
(314) 432-4348

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000013395
MEDICARE
MO
Enumeration date
02/26/2007
Last updated
06/23/2010
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