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Organization

DRX - FC MANAGEMENT 002, LLC

Active
Other names
Doctors Express - Creve Coeur
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERNIE C RANCHERO MD (REGIONAL MEDICAL DIRECTOR)
(630) 696-0714
Entity
Organization

Contact information

Practice address
747 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6715
(314) 991-3030
(314) 991-3031
Mailing address
1610 N KINGSHIGHWAY ST, THIRD FLOOR, SUITE 301, CAPE GIRARDEAU, MO 63701-2196
(573) 335-2900
(314) 932-2417

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MO

Other

Enumeration date
03/08/2011
Last updated
03/08/2011
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