Organization
WEST COUNTY FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NORMAN KANTOR D.O. (PRESIDENT, PHYSICIAN)
(314) 821-6889
Entity
Organization
Contact information
Practice address
2355 DOUGHERTY FERRY RD, STE 320, SAINT LOUIS, MO 63122-3325
(314) 821-6889
(314) 821-1887
Mailing address
2355 DOUGHERTY FERRY RD, STE 320, SAINT LOUIS, MO 63122-3325
(314) 821-6889
(314) 821-1887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
R8687
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240189704
—
MO
Enumeration date
12/05/2006
Last updated
05/05/2008
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