Drx - Fc Management 005, LLC

NPI #1326336702 in Des Peres, Missouri

Provider Information

NPI Number
1326336702
Entity Type
Organization
Organization Name
Drx - Fc Management 005, LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Jul 19, 2011
Last Updated
Jul 19, 2011

Practice Location

Address
11648 MANCHESTER RD
ZIP Code
63131-4612
Phone
(314) 821-1099

Authorized Official

Name
DR. BERNIE C RANCHERO, MD
Title
REGIONAL MEDICAL DIRECTOR
Phone
(630) 696-0714

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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