Organization
BRICCIO S. CADIZ, MD PC
Active
Other names
COUNTY WIDE INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRICCIO S CADIZ M.D. (PRESIDENT)
(636) 937-7903
Entity
Organization
Contact information
Practice address
1447 HIGHWAY 61, SUITE B, FESTUS, MO 63028-4109
(636) 937-7903
(636) 937-7602
Mailing address
PO BOX 1237, FESTUS, MO 63028-7237
(636) 937-7903
(636) 937-7602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208171819
—
MO
Enumeration date
02/03/2010
Last updated
01/31/2020
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