Organization
DRX - FC MANAGEMENT 005, LLC
Active
Other names
Doctors Express - Des Peres
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
11648 MANCHESTER RD, DES PERES, MO 63131-4612
(314) 821-1099
(314) 395-0945
Mailing address
1610 N KINGSHIGHWAY ST, 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
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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