Organization · NPI-2

Accident Injury Healthcare

Family Medicine · Saint Louis, MO

NPI number1720319239
StatusActive
Last updated in NPPESJan 22, 2010

Details

NPI
1720319239
Entity type
Organization (NPI-2)
Legal business name
Accident Injury Healthcare
Organization subpart
No
Enumeration date
Jan 22, 2010
Last updated
Jan 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicinemd101729MOYes
111N00000X Chiropractor006568MO

Practice location

440 N 4th St # 295
Saint Louis, MO 63102-2654

Phone 314-703-4439

Mailing address

440 N 4th St # 295
Saint Louis, MO 63102-2654

Phone 314-703-4439

Authorized official

David Wills
President/Managing Member
3147034439

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Saint Louis, MO