Sean Mcintosh

NPI 1700997731 - Family Medicine - 207Q00000X

NPI Details
NPI 1700997731
Gender Male
Enumeration Date 08/31/2006
Last Updated 03/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3449 PHEASANT MEADOW DR
STE. 107
O FALLON MO, 63368-7364, US
Phone (636) 379-4140
Fax (636) 379-4132
Business Location
670 MASON RIDGE CENTER DR
STE 300
SAINT LOUIS MO, 63141-8573, US
Phone (636) 379-4140
Fax (636) 379-4132
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 106160
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According to our database, Sean Mcintosh NPI is 1700997731, taxonomy code is 207Q00000X and license number is 106160, license state is located at Missouri. Sean Mcintosh physically located at 3449 Pheasant Meadow Dr, O Fallon MO, 63368-7364. NPI Number Sean Mcintosh has the Individual type.

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1700997731 NPI number is provided on an as is basis without warranty of any kind. 1700997731 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Mcintosh are for informational purposes only.