NPI:
1962275750
Provider Name:
GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE
Doing Business As: GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE LLC
Classification:
Internal Medicine - 207RE0101X
Entity Type:
Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 26D2295527
Address:
15421 CLAYTON RD STE 202
BALLWIN, MO
ZIP 63011
Phone:
(636) 534-1466
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GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE is an endocrinology and diabetes and metabolism internal medicine in Ballwin, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE NPI is 1962275750. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Great Plains Endocrinology & Diabetes Care Llc.
The provider's business location address is:
15421 CLAYTON RD STE 202
BALLWIN, MO
ZIP 63011-161
Phone: (636) 534-1466
The provider's authorized official is Azra Niaz .
The authorized official title is Owner and has the following contact phone number (773) 971-2604.
The CLIA number assigned to this NPI record is 26D2295527 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/2/2023 and was last updated on 11/30/2023.