NPI 1538860267
Superior Healthcare Physical Medicine of West County, LLC
Practice location
- Address
- 5650 Mexico Rd STE 2, Saint Peters, MO 63376-1696
- Phone
- (636) 875-1270
- Fax
- (636) 875-1278
- Mailing address
- 2121 Barrett Station Rd, Saint Louis, MO 63131-1606
Authorised official
- Name
- Daniel Gogliotti
- Title
- Owner
- Phone
- (314) 394-1923
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1538860267
- Entity type
- Organization
- NPI issued
- 10 Mar 2023
- Record last updated
- 10 Mar 2023
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.