Organization
NORTHWEST INTERNAL MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALTSHELER MD (OWNER)
(314) 739-3990
Entity
Organization
Contact information
Practice address
3460 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 739-3990
(314) 739-3924
Mailing address
3460 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 739-3990
(314) 739-3924
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R7222
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5898
RR MEDICARE GROUP#
MO
Enumeration date
02/03/2006
Last updated
10/25/2007
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