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Organization

WEST COUNTY FAMILY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN PATRICK STEIN M.D. (PRESIDENT)
(314) 542-2077
Entity
Organization

Contact information

Practice address
1574 WOODLAKE DR, CHESTERFIELD, MO 63017-5712
(314) 542-2077
(314) 434-1406
Mailing address
1574 WOODLAKE DR, CHESTERFIELD, MO 63017-5712
(314) 542-2077
(314) 434-1406

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108833
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DG5339
RAILROAD MEDICARE
MO
Enumeration date
11/21/2006
Last updated
07/01/2015
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