Organization
FAST TRACK URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMSAK LOPANSRI MD (PRINCIPLE)
(314) 921-7300
Entity
Organization
Contact information
Practice address
2686 N HIGHWAY 67, FLORISSANT, MO 63033-1438
(314) 921-7300
Mailing address
2700 WILLOW ST, CARUTHERSVILLE, MO 63830-9136
(314) 921-7300
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
35172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201331311
—
MO
Enumeration date
10/28/2008
Last updated
11/10/2008
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