Provider Demographics
NPI:1235342478
Name:WEST COUNTY MEDICAL SPECIALISTS, INC
Entity Type:Organization
Organization Name:WEST COUNTY MEDICAL SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-878-6207
Mailing Address - Street 1:969 N MASON RD
Mailing Address - Street 2:STE 145
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6338
Mailing Address - Country:US
Mailing Address - Phone:314-878-6008
Mailing Address - Fax:314-434-5620
Practice Address - Street 1:969 N MASON RD
Practice Address - Street 2:STE 145
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6338
Practice Address - Country:US
Practice Address - Phone:314-878-6008
Practice Address - Fax:314-434-5620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2021-05-18
Deactivation Date:2021-03-01
Deactivation Code:
Reactivation Date:2021-05-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty