Organization
PULMONARY-SLEEP CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON H JACOBS MD (PRESIDENT)
(314) 993-2884
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD, SUITE 262, SAINT LOUIS, MO 63141-6835
(314) 993-2884
(314) 993-0521
Mailing address
450 N NEW BALLAS RD, SUITE 262, SAINT LOUIS, MO 63141-6835
(314) 993-2884
(314) 993-0521
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB6713
RR MEDICARE
MO
Enumeration date
02/02/2007
Last updated
11/05/2009
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