NPI 1053945105

Premier Cds Services

Organisation Preferred Provider Organization Saint Louis, MO

Practice location

Address: 4144 Lindell Blvd STE 218, Saint Louis, MO 63108-2932
Phone: (314) 833-4466

Authorised official

Name: Deonda Poke
Title: Executive Director
Phone: (314) 833-4466

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Missouri →

Registry record

NPI: 1053945105
Entity type: Organization
NPI issued: 27 Feb 2020
Record last updated: 27 Feb 2020

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.