Individual
MR. DAVID EVERETT EASTERDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1003 E CHERRY ST, TROY, MO 63379-1503
(636) 528-6755
(636) 528-6965
Mailing address
PO BOX 249, TROY, MO 63379-0249
(636) 528-6755
(636) 528-6965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108479
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243764107
—
MO
Enumeration date
09/16/2005
Last updated
09/15/2011
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