DCCT

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1588818975

Practice location

1423 S Big Bend Blvd
Saint Louis, MO 63117-2203
Phone
(314) 610-8169

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NPI record

NPI
1588818975
Entity type
Organization (Type 2)
Enumeration date
November 11, 2008
Last updated
November 13, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X 101819 MO

Mailing address

PO Box 9169
Saint Louis, MO 63117-0169
Phone
(314) 610-8169

Authorized official

Name
Dr. Reza Rofougaran, MD
Title
CEO
Phone
(314) 610-8169

About DCCT

DCCT is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 1423 S Big Bend Blvd, Saint Louis, MO 63117-2203. The NPI number 1588818975 was assigned on November 11, 2008 and the record was last updated on November 13, 2008.

DCCT lists a license in the registry: #101819 (MO) for Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Reza Rofougaran, MD, CEO.

Frequently asked questions

What is the NPI number of DCCT?

The NPI number is 1588818975.

What is the phone number of DCCT?

The phone number listed for the practice location is (314) 610-8169.

Where is DCCT located?

1423 S Big Bend Blvd, Saint Louis, MO 63117-2203.

What is the taxonomy code for DCCT?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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