Organization
ADVANCED MEDICAL SOLUTIONS LLC
Active
Other names
Insight Dietitians
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN L WARREN (GENERAL PARTNER)
(314) 291-2900
Entity
Organization
Contact information
Practice address
13400 LAKEFRONT DR, EARTH CITY, MO 63045-1516
(314) 291-2900
(800) 508-8491
Mailing address
PO BOX 879, BRIDGETON, MO 63044-0879
(314) 291-2900
(800) 508-8491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2005037494
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861674871
WELLCARE OF MISSOURI
MO
01
—
1861674871
AETNA
—
05
—
1861674871
—
MO
01
—
DT1640
RAILROAD MEDICARE
—
Enumeration date
11/30/2007
Last updated
10/03/2013
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