Ballwin Family Medicine LLC
NPI #1790204311 in Manchester, Missouri
Provider Information
- NPI Number
- 1790204311
- Entity Type
- Organization
- Organization Name
- Ballwin Family Medicine LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST. LUKES MEDICAL GROUP
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 14, 2017
- Last Updated
- Jan 27, 2022
Practice Location
- Address
- 653 BIG BEND RD
- City
- Manchester
- State
- Missouri
- ZIP Code
- 63021-7723
- Phone
- (314) 434-1500
Authorized Official
- Name
- JAMES SNIDER
- Title
- DIRECTOR
- Phone
- (636) 685-7804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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