Medcare Physician LLC

NPI #1417079377 in Fenton, Missouri

Provider Information

NPI Number: 1417079377
Entity Type: Organization
Organization Name: Medcare Physician LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 4, 2007
Last Updated: Oct 26, 2010

Practice Location

Address: 2117 BENTLEY PLAZA
City: Fenton
State: Missouri
ZIP Code: 63026
Phone: (636) 225-2273

Authorized Official

Name: VICTORIA L ALLEN, DO
Title: PHYSICIAN
Phone: (636) 225-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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