WEST COUNTY INFECTIOUS DISEASE LLC NPI 1194125195

NPI Information

  • NPI: 1194125195
  • Provider Name: WEST COUNTY INFECTIOUS DISEASE, LLC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • CLIA Number: 26D0878448
  • Address: 10004 KENNERLY RD STE 392
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (636) 489-1602

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NPI Details

WEST COUNTY INFECTIOUS DISEASE, LLC is an infectious disease internal medicine in Saint Louis, MO. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. WEST COUNTY INFECTIOUS DISEASE, LLC NPI is 1194125195. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10004 KENNERLY RD STE 392
SAINT LOUIS, MO
ZIP 63128-141
Phone: (636) 489-1602
Fax: (636) 600-5294

The provider's authorized official is Polly K David .
The authorized official title is Owner and has the following contact phone number (314) 477-9827.

The CLIA number assigned to this NPI record is 26D0878448 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 1/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseMISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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