Organization
PULMONARY DISEASE CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK B SANDIFORD M.D. (OWNER)
(636) 441-2600
Entity
Organization
Contact information
Practice address
201 FIRST EXECUTIVE AVE, SAINT PETERS, MO 63376-1697
(636) 441-2600
(636) 447-7612
Mailing address
201 FIRST EXECUTIVE AVE, SAINT PETERS, MO 63376-1697
(636) 441-2600
(636) 447-7612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG6036
RAILROAD MEDICARE
MO
Enumeration date
08/08/2006
Last updated
04/16/2008
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