Organization
PREMIER EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 821-5850
(314) 966-9274
Mailing address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 821-5850
(314) 966-9274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500201306
—
MO
01
—
DE1476
RAILROAD MEDICARE
MO
Enumeration date
04/27/2006
Last updated
06/23/2016
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