Organization
WEST COUNTY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNN S NUESSE (PRACTICE MANAGER)
(314) 872-7792
Entity
Organization
Contact information
Practice address
777 CRAIG RD STE 130, CREVE COEUR, MO 63141-7133
(314) 872-7792
(314) 872-5655
Mailing address
777 CRAIG RD STE 130, CREVE COEUR, MO 63141-7133
(314) 872-7792
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208073205
—
MO
Enumeration date
04/15/2020
Last updated
04/15/2020
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