Organization
DIGESTIVE CARE CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DAVID KOENIG M.D. (PRESIDENT)
(314) 298-1600
Entity
Organization
Contact information
Practice address
100 VILLAGE SQ, HAZELWOOD, MO 63042-1820
(314) 298-1600
(314) 298-1601
Mailing address
100 VILLAGE SQ, HAZELWOOD, MO 63042-1820
(314) 298-1600
(314) 298-1601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MDR3G44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202823316
—
MO
Enumeration date
03/23/2007
Last updated
09/05/2014
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