Organization
PREMISE HEALTH OF MISSOURI MEDICAL PC
Active
Other names
Live Well at Citi - O'Fallon
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
1000 TECHNOLOGY DR, O FALLON, MO 63368-2239
(636) 261-1600
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
02/04/2026
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