Organization
DES PERES MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID IMPEY D.O. (INTERNAL MEDICINE & CRITICAL CARE)
(314) 821-3111
Entity
Organization
Contact information
Practice address
2355 DOUGHERTY FERRY RD, SUITE 408, SAINT LOUIS, MO 63122-3325
(314) 821-3111
(314) 821-8846
Mailing address
PO BOX 790056, SAINT LOUIS, MO 63179-0056
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R9B88
MO
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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