Organization
MOTOG INC.
Active
Other names
St. Francois Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO GUTIERREZ M.D. (OWNER/PRESIDENT)
(314) 866-7116
Entity
Organization
Contact information
Practice address
3394 MCKELVEY RD STE 115, BRIDGETON, MO 63044-2531
(314) 866-7116
(314) 380-0872
Mailing address
3394 MCKELVEY RD STE 115, BRIDGETON, MO 63044-2531
(314) 866-7116
(314) 380-0872
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001383
NHC HEALTH BENEFITS
MO
01
—
0400423
UHC
MO
01
—
100380
HEALTHLINK
MO
01
—
100529
BCBS
MO
01
—
2107378-003
CIGNA
MO
01
—
2161557
AETNA
MO
01
—
617V4439
CMR
MO
05
—
830062299
—
MO
01
—
CO1315
MEDICARE RR
MO
01
—
D04076
EXCLUSIVE CHOICCE
MO
Enumeration date
12/13/2007
Last updated
01/07/2026
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