Organization
CARIBE GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DEBOLD (ACCOUNT MANAGER)
(314) 432-2580
Entity
Organization
Contact information
Practice address
6 JUNGERMANN CIR, SUITE 207, SAINT PETERS, MO 63376-1621
(636) 498-1700
(636) 498-1702
Mailing address
PO BOX 1449, MARYLAND HEIGHTS, MO 63043-0449
(314) 432-2580
(314) 569-3162
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507577807
—
MO
Enumeration date
09/29/2006
Last updated
09/13/2012
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