NPI 1104432640

Complex Healthcare of Des Peres LLC

Organisation Emergency Medical Services (Emergency Medicine) Physician Saint Louis, MO

Practice location

Address: 1032 Old Des Peres Rd, Saint Louis, MO 63131-1865
Phone: (817) 735-1180
Mailing address: 6040 Camp Bowie Blvd STE 24, Fort Worth, TX 76116-5602

Authorised official

Name: Glenn Hermes
Title: Ceo
Phone: (817) 692-6313

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X

Other Emergency Medicine providers in Missouri →

Registry record

NPI: 1104432640
Entity type: Organization
NPI issued: 21 Sep 2020
Record last updated: 21 Sep 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.