Quickmd Medical Group PA
Internal Medicine in Chesterfield, MO. Organization (NPI-2).
NPI number1831819366
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1831819366
- Entity type
- Organization (NPI-2)
- Legal business name
- Quickmd Medical Group PA
- Organization subpart
- No
- Enumeration date
- Sep 2, 2022
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 208D00000X | General Practice | – | – |
Practice location
100 Chesterfield Business Pkwy Ste 200Chesterfield, MO 63005-1271
Phone 888-878-4256
Mailing address
3865 Holcomb Bridge RdPeachtree Corners, GA 30092-2205
Other practice locations
7635 Stanford Ave
Saint Louis, MO 63130-2839
Saint Louis, MO 63130-2839
Phone 888-878-4256
Authorized official
Katrina Merritt
Senior Manager, Credentialing
8135965726
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