Organization
MILLENNIUM MEDICAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLOMON NOGUERA M.D. (CEO)
(636) 931-3667
Entity
Organization
Contact information
Practice address
1153 E GANNON DR, FESTUS, MO 63028-2611
(636) 931-3667
Mailing address
1153 E GANNON DR, FESTUS, MO 63028-2611
(636) 931-3667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8H32
MO
Other
Enumeration date
11/13/2007
Last updated
07/12/2010
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