Organization
ST PETERS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALENA C HUBBARD (OFFICE MANAGER)
(636) 926-0558
Entity
Organization
Contact information
Practice address
5770 MEXICO ROAD, STE #D, ST. PETERS, MO 63376-1637
(636) 926-0558
(636) 926-8141
Mailing address
5770 MEXICO ROAD, STE #D, ST. PETERS, MO 63376-1637
(636) 926-0558
(636) 926-8141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2005
Last updated
08/19/2008
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