INFECTIOUS DISEASE CONSULTANTS, INC.
QID Q110535732 · NPI 1922032994
| Fact | Value | Period | Source |
|---|---|---|---|
| enumeration_date | {"date": "2006-07-10"} | 2006-07-10 | cms_nppes |
| legal_address | {"city": "SAINT LOUIS", "region": "MO", "street": "621 S NEW BALLAS RD STE 70B", "country" | cms_nppes | |
| legal_name | {"value": "INFECTIOUS DISEASE CONSULTANTS, INC."} | cms_nppes | |
| provider_status | {"value": "aktiv", "deactivation_date": null, "reactivation_date": null} | cms_nppes | |
| provider_taxonomy | {"value": "207RI0200X", "scheme": "NUCC"} | cms_nppes |
Cite as: FACTANKER, https://factanker.com/entity/d7889d3d-aafd-4fdb-9421-db031745e1a0