Organization
WEST END INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONIA NOVELLA PEEBLES (OFFICE MANAGER)
(314) 367-2766
Entity
Organization
Contact information
Practice address
5585 PERSHING AVENUE, SUITE 220, ST LOUIS, MO 63112
(314) 367-2766
(314) 454-1336
Mailing address
5585 PERSHING AVENUE, SUITE 220, ST LOUIS, MO 63112
(314) 367-2766
(314) 454-1336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RC400
MO
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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