Organization
DIGESTIVE DISORDER CENTER OF ST. CHARLES COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY D BURACK MD (OWNER)
(636) 928-3858
Entity
Organization
Contact information
Practice address
4800 MEXICO RD, SUITE 201, SAINT PETERS, MO 63376-1666
(636) 928-3858
Mailing address
4800 MEXICO RD, SUITE 201, SAINT PETERS, MO 63376-1666
(636) 928-3858
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R9806
MO
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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