Organization
FAST TRACK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LONG (PRESIDENT)
(314) 921-7300
Entity
Organization
Contact information
Practice address
5701 CHIPPEWA ST, SAINT LOUIS, MO 63109-1544
(314) 921-7300
Mailing address
2686 N HIGHWAY 67, FLORISSANT, MO 63033-1438
(314) 921-7300
(314) 395-2123
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
04/11/2024
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