NPI 1235326190

Endocrine Consultatns, LLC

Organisation Exclusive Provider Organization O'Fallon, MO

Practice location

Address: 2 Progress Point Parkway Suite 101c, O'Fallon, MO 63368
Phone: (636) 441-7174

Authorised official

Name: Stanley Mathew
Title: President
Phone: (636) 441-7174

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1235326190
Entity type: Organization
NPI issued: 25 Sep 2007
Record last updated: 26 Sep 2007

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.