De Geer Health & Wellness, LLC
Clinic/Center in Creve Coeur, MO. Organization (NPI-2).
NPI number1649784810
StatusActive
Last updated in NPPESNov 27, 2017
Details
- NPI
- 1649784810
- Entity type
- Organization (NPI-2)
- Legal business name
- De Geer Health & Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2017
- Last updated
- Nov 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 2015014313 | MO | Yes |
Practice location
777 S New Ballas Rd Ste 218eCreve Coeur, MO 63141-8718
Phone 314-541-8188
Mailing address
391 Palermo DrBallwin, MO 63021-6450
Authorized official
Christopher De Geer
Owner
3145418188
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