NPI 1861033565

Primary Medical Services, LLC

Organisation Driver Saint Louis, MO

Practice location

Address: 206 Emerling Dr, Saint Louis, MO 63121-1022
Phone: (314) 390-8850

Authorised official

Name: Quinten Randolph
Title: Owner
Phone: (314) 390-8850

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1861033565
Entity type: Organization
NPI issued: 3 Oct 2019
Record last updated: 7 Nov 2019

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.