COLBERT HEALTHCARE & PREVENTIVE WELLNESS P.C. NPI 1487807483

NPI Information

COLBERT HEALTHCARE & PREVENTIVE WELLNESS, P.C. is a medical specialty clinic center in Saint Louis, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). COLBERT HEALTHCARE & PREVENTIVE WELLNESS, P.C. NPI is 1487807483. The provider is registered as an organization entity type.

The provider's business location address is:

7601 NATURAL BRIDGE RD
SUITE 103
SAINT LOUIS, MO
ZIP 63121-904
Phone: (314) 383-5221
Fax: (314) 383-5228

The provider's authorized official is Dennis Gregory Colbert .
The authorized official title is Owner/physician and has the following contact phone number (314) 383-5221.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 11/4/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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