Id Med Consulting, INC

NPI #1720374747 in Fenton, Missouri

Provider Information

NPI Number
1720374747
Entity Type
Organization
Organization Name
Id Med Consulting, INC
Primary Specialty
General Acute Care Hospital
Enumeration Date
Jun 28, 2011
Last Updated
Jun 28, 2011

Practice Location

Address
43 QUAIL WOODS DR
City
Fenton
ZIP Code
63026-3444
Phone
(314) 651-4141

Authorized Official

Name
MRS. ELAINE MARIE DUNN, RN
Title
PRESIDENT
Phone
(314) 651-4141

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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