Individual
DR. COLES E L'HOMMEDIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2004012112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901680
UNITED HEALTHCARE
MO
01
—
191095
BLUE CROSS BLUE SHIELD
MO
05
—
2026180002
—
MO
01
—
220386
GROUP HEALTH PLAN
MO
01
—
668930
HEALTHLINK
MO
01
—
7248595
AETNA
MO
01
—
P00143831
RAILROAD MEDICARE
MO
Enumeration date
05/09/2006
Last updated
07/17/2019
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