Provider Demographics
NPI:1457321846
Name:EXCEL CARE OB GYN INC
Entity type:Organization
Organization Name:EXCEL CARE OB GYN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEFARTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-937-6484
Mailing Address - Street 1:1439 US HWY 61
Mailing Address - Street 2:SUITE A
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63019
Mailing Address - Country:US
Mailing Address - Phone:636-937-6484
Mailing Address - Fax:636-933-0277
Practice Address - Street 1:1439 US HWY 61
Practice Address - Street 2:SUITE A
Practice Address - City:CRYSTAL CITY
Practice Address - State:MO
Practice Address - Zip Code:63019
Practice Address - Country:US
Practice Address - Phone:636-937-6484
Practice Address - Fax:636-933-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty