Organization
COLBERT HEALTHCARE & PREVENTIVE WELLNESS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS GREGORY COLBERT M.D. (OWNER/PHYSICIAN)
(314) 383-5221
Entity
Organization
Contact information
Practice address
7601 NATURAL BRIDGE RD, SUITE 103, SAINT LOUIS, MO 63121-4904
(314) 383-5221
(314) 383-5228
Mailing address
7601 NATURAL BRIDGE ROAD, SUITE 103, ST. LOUIS, MO 63121
(314) 383-5221
(314) 383-5228
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
R8H27
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203628011
—
MO
Enumeration date
11/04/2008
Last updated
11/04/2008
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