Organization
HOME DOCTORS MEDICAL ASSOCIATES
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Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA JAVIER (SOLE MEMBER/OWNER)
(314) 780-9988
Entity
Organization
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE 450, SAINT LOUIS, MO 63117-1223
(314) 780-9988
Mailing address
4977 MOUNT ROYAL RD, SAINT LOUIS, MO 63128-2302
(314) 780-9988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
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—
207R00000X
Internal Medicine Physician
Primary
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Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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