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Organization

EMERGENCY MEDICAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID FOUTS MD (HEAD OF GROUP)
(800) 968-6866
Entity
Organization

Contact information

Practice address
500 MEDICAL DR, WENTZVILLE, MO 63385-3421
(636) 327-1100
(616) 532-7230
Mailing address
PO BOX 790129, DEPT EC, SAINT LOUIS, MO 63179-0129
(800) 968-6866
(616) 532-7230

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R8610
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
196690
BCBS
MO
Enumeration date
06/01/2005
Last updated
01/16/2008
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