Organization
DOCTOR'S CLINICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT P. POETZ D.O. (OWNER)
(314) 291-0505
Entity
Organization
Contact information
Practice address
12255 DEPAUL DRIVE SUITE 865, BRIDGETON, MO 63044
(314) 291-0505
(314) 291-0747
Mailing address
PO BOX 790379, SAINT LOUIS, MO 63179-0379
(314) 291-0505
(314) 291-0747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29351
MO
363L00000X
Nurse Practitioner
152467
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004255603
AETNA
MO
01
—
01-00207
UNITED HEALTH CARE
MO
01
—
080130617
MEDICARE RAILROAD
MO
01
—
100805
ANTHEM BC/BS
MO
01
—
1013577
CARE PARTNERS
MO
01
—
103753
HEALTHLINK
MO
01
—
123036
GHP
MO
01
—
1940001
PARTNERS
MO
01
—
2064
HEALTHCARE USA
MO
05
—
240407908
—
MO
01
—
250759
HARMONY
MO
01
—
3065209001
CIGNA
MO
01
—
489409703
MERCYCARE PLUS
MO
01
—
77072
WELLCARE
MO
01
—
D92011
HUMANA
MO
Enumeration date
02/28/2008
Last updated
05/22/2008
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