NPI 1295445955

Professional Revenue Management LLC

Organisation Exclusive Provider Organization Saint Louis, MO

Practice location

Address: 4913 Devonshire Ave APT 2e, Saint Louis, MO 63109-2402
Phone: (314) 449-9420
Fax: (314) 584-7035
Mailing address: PO Box 300141, University City, MO 63130-0441

Authorised official

Name: Deja Scott
Title: Founder/Ceo
Phone: (314) 449-9420

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Missouri →

Registry record

NPI: 1295445955
Entity type: Organization
NPI issued: 2 Dec 2022
Record last updated: 2 Dec 2022

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.