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Organization

MIDWEST INTERNISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAMAL R. DEMETRY (PRESIDENT)
(314) 996-8349
Entity
Organization

Contact information

Practice address
1040 N MASON RD, SUITE 102, SAINT LOUIS, MO 63141-6399
(314) 996-8349
Mailing address
1040 N MASON RD, SUITE 102, SAINT LOUIS, MO 63141-6399
(314) 996-8349

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
105483
MO

Other

Enumeration date
07/17/2007
Last updated
07/17/2007
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