Organization
PRIMARY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAIYAZ SULAIMAN (MANAGER)
(915) 926-0982
Entity
Organization
Contact information
Practice address
2315 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3383
(314) 909-1920
(314) 909-1980
Mailing address
3505 COLLEGE AVE, ALTON, IL 62002-5065
(618) 462-9695
(618) 462-9651
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036115808
IL
207P00000X
Emergency Medicine Physician
Primary
2008026704
MO
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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