Organization
DIGESTIVE DISEASE CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QAISER JAWAID MD (PRESIDENT)
(636) 625-8300
Entity
Organization
Contact information
Practice address
300 MEDICAL PLZ, SUITE 100, LAKE ST LOUIS, MO 63367-1481
(636) 625-8300
(636) 625-8301
Mailing address
300 MEDICAL PLZ, SUITE 100, LAKE ST LOUIS, MO 63367-1481
(636) 625-8300
(636) 625-8301
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2004001639
MO
Other
Enumeration date
06/08/2009
Last updated
06/27/2011
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