Organization
MRT MEDICAL GROUP.PC
Active
Other names
County Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATA R PANTE (DIRECTOR)
(314) 265-3033
Entity
Organization
Contact information
Practice address
2325 DOUGHERTY FERRY RD,, SUITE# 206, ST LOUIS, MO 63122
(314) 265-3033
(314) 821-0952
Mailing address
PO BOX 411397, SAINT LOUIS, MO 63141-1397
(314) 265-3033
(314) 821-0952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2000174352
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2000174352
MO
208M00000X
Hospitalist Physician
2000174352
MO
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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