Doctors on the GO1 L.c
Doctors on the GO1 L.c is a General Practice Physician in Olivette, Missouri. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1515 N Warson Rd 249Olivette, MO 63132-1111
Phone: (314) 925-7595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Podiatrist | Taxonomy 213E00000X |
Record details
| NPI number | 1306296447 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Denis Mikhlin — Owner · (314) 216-0838 |
| NPI enumerated | June 20, 2016 |
| Last updated in NPPES | June 28, 2016 |
| Mailing address | 1515 N Warson Rd, 249, Olivette, MO 63132-1111 |