Organization
WEST FLORISSANT INTERNISTS, INC
Active
Other names
WEST FLORISSANT INTERNISTS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEED RAZZAQUE M.D. (OWNER)
(314) 837-1333
Entity
Organization
Contact information
Practice address
3165 MCKELVEY RD STE 100, BRIDGETON, MO 63044
(314) 739-1333
(314) 739-1350
Mailing address
3165 MCKELVEY RD STE 100, BRIDGETON, MO 63044-2550
(314) 739-1333
(147) 391-3503
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
RIE67
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507480705
—
MO
Enumeration date
07/19/2006
Last updated
01/15/2020
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