Organization
CRITICAL CARE SERVICES, P.C.
Active
Organization
CRITICAL CARE SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABELLE C KOPEC MD (PRESIDENT)
(314) 514-6000
Entity
Organization
Contact information
Practice address
ONE CITYPLACE DRIVE, SUITE 570, ST. LOUIS, MO 63141-7067
(314) 514-6000
(866) 497-1239
Mailing address
ONE CITYPLACE DRIVE, SUITE 570, SAINT LOUIS, MO 63141-7067
(314) 514-6060
(866) 497-1239
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508903408
—
MO
Enumeration date
05/26/2006
Last updated
04/19/2024
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