Millennium Medical P C

NPI #1740460211 in Festus, Missouri

Provider Information

NPI Number: 1740460211
Entity Type: Organization
Organization Name: Millennium Medical P C
Primary Specialty: Family Medicine
Enumeration Date: Nov 13, 2007
Last Updated: Jul 12, 2010

Practice Location

Address: 1153 E GANNON DR
City: Festus
State: Missouri
ZIP Code: 63028-2611
Phone: (636) 931-3667

Authorized Official

Name: DR. SOLOMON NOGUERA, M.D.
Title: CEO
Phone: (636) 931-3667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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