Organization
TOTAL ACCESS URGENT CARE, PC
Active
Parent organization
TOTAL ACCESS URGENT CARE, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOTAL ACCESS URGENT CARE, PC
Authorized official
MATTHEW BRUCKEL (PRESIDENT)
(314) 961-2255
Entity
Organization
Contact information
Practice address
6940 S LINDBERGH BLVD, SAINT LOUIS, MO 63125-4219
(314) 380-8527
(314) 380-8528
Mailing address
13861 MANCHESTER RD, BALLWIN, MO 63011-4503
(314) 238-4660
(314) 270-3694
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015584
PTAN
—
Enumeration date
03/18/2019
Last updated
03/18/2019
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