Organization
OVERLAND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN GOLDSTEIN MD (OFFICER)
(314) 427-2424
Entity
Organization
Contact information
Practice address
2428 WOODSON RD, OVERLAND, MO 63114-5423
(314) 427-2424
(314) 427-7787
Mailing address
2428 WOODSON RD, OVERLAND, MO 63114-5423
(314) 427-2424
(314) 427-7787
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
12/21/2006
Last updated
02/14/2008
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