Provider Demographics
NPI:1861510877
Name:COUNTY SPECIALIST
Entity Type:Organization
Organization Name:COUNTY SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MYRTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:636-530-9999
Mailing Address - Street 1:16216 BAXTER RD
Mailing Address - Street 2:SUITE 299
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4770
Mailing Address - Country:US
Mailing Address - Phone:636-530-9999
Mailing Address - Fax:636-530-0977
Practice Address - Street 1:16216 BAXTER RD
Practice Address - Street 2:SUITE 299
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4770
Practice Address - Country:US
Practice Address - Phone:636-530-9999
Practice Address - Fax:636-530-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDRL342080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Multi-Specialty