Organization
CHESTERFIELD CARDIAC CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORTON RINDER M.D. (AUTHORIZED OFFICIAL)
(314) 568-5858
Entity
Organization
Contact information
Practice address
226 S WOODS MILL RD, 44W, CHESTERFIELD, MO 63017-3662
(314) 485-8788
(314) 991-8960
Mailing address
PO BOX 790379, SAINT LOUIS, MO 63179-0379
(314) 432-2580
(314) 991-8960
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518368265
—
MO
01
—
DV1250
RAILROAD MEDICARE GROUP PTAN
MO
Enumeration date
09/12/2014
Last updated
01/09/2015
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