Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestview Medical Associates, LLC

Organization Internal Medicine Physician · NPI 1750351581

Crestview Medical Associates, LLC is an Internal Medicine Physician in Lake St Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Brevco Plz
Lake St Louis, MO 63367-1399
Phone: (636) 561-8100
Fax: (636) 561-3396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 207R0000X (MO)

Record details

NPI number1750351581
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Vatterott — Owner · (636) 561-8100
NPI enumeratedJanuary 24, 2006
Last updated in NPPESSeptember 28, 2007
Mailing address107 Brevco Plz, Lake St Louis, MO 63367-1399

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