Provider Demographics
NPI:1013414317
Name:DIGESTIVE CONSULTANTS LLC
Entity Type:Organization
Organization Name:DIGESTIVE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. P. PHYSICIAN NETOWRK
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-685-7804
Mailing Address - Street 1:224 S WOODS MILL RD STE 410S
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3605
Mailing Address - Country:US
Mailing Address - Phone:636-685-7795
Mailing Address - Fax:314-590-5959
Practice Address - Street 1:222 S WOODS MILL RD STE 410
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3625
Practice Address - Country:US
Practice Address - Phone:636-685-7795
Practice Address - Fax:314-590-5959
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST. LUKES MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-12
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty