Internal Medicine Consultants Ii, LLC

NPI #1992776801 in Saint Louis, Missouri

Provider Information

NPI Number
1992776801
Entity Type
Organization
Organization Name
Internal Medicine Consultants Ii, LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jan 30, 2006
Last Updated
Sep 27, 2011

Practice Location

Address
456 N NEW BALLAS RD
Address 2
SUITE 299
ZIP Code
63141-6831
Phone
(314) 569-1090

Authorized Official

Name
DR. MATTHEW BOSNER, MD
Title
DELEGATED OFFICIAL
Phone
(314) 569-1090

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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