NPI 1003686684

Dtg II PLLC

Organisation Family Medicine Physician Saint Louis, MO

Practice location

Address: 3819 Tesson CT, Saint Louis, MO 63123-7737
Phone: (800) 268-7713
Fax: (415) 704-3294
Mailing address: 811 E Kent Rd, Greenville, MI 48838-9791

Authorised official

Name: John M Bernard
Title: President
Phone: (800) 268-7713

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Missouri →

Registry record

NPI: 1003686684
Entity type: Organization
NPI issued: 4 Jan 2024
Record last updated: 4 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.