Organization · NPI-2

C And M Medical Group PC

Clinic/Center · Florissant, MO

NPI number1467648469
StatusActive
Last updated in NPPESJul 19, 2010

Details

NPI
1467648469
Entity type
Organization (NPI-2)
Legal business name
C And M Medical Group PC
Organization subpart
No
Enumeration date
Sep 24, 2007
Last updated
Jul 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1265 Graham Rd
Suite 3
Florissant, MO 63031-8018

Phone 314-837-0505

Mailing address

1265 Graham Rd
Suite 3
Florissant, MO 63031-8018

Phone 314-837-0505

Authorized official

Galileu Cabral
Physician
3148370505

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