Organization
GCP ACO 2 LLC
Active
Parent organization
GENERATION CLINICAL PARTNERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATION CLINICAL PARTNERS LLC
Authorized official
WALTER LIN MD (CHIEF EXECUTIVE OFFICER)
(314) 925-0903
Entity
Organization
Contact information
Practice address
723 S LACLEDE STATION RD, SAINT LOUIS, MO 63119-4911
(314) 925-0903
Mailing address
10426 BAUR BLVD, SAINT LOUIS, MO 63132-1905
(314) 925-0903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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