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Organization

PAEAN PHYSICIAN SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEVINDER GUPTA SR. MD (OWNER/PHYSICIAN)
(660) 815-3668
Entity
Organization

Contact information

Practice address
141 N SPOEDE RD, SAINT LOUIS, MO 63141-7709
(660) 815-3668
Mailing address
141 N SPOEDE RD, SAINT LOUIS, MO 63141-7709
(660) 815-3668

Taxonomy

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

Other

Enumeration date
09/26/2022
Last updated
11/03/2023
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