Graduated: 2017
NPI: 1144844309
Practice Locations (6)
NORTHWEST INFECTIOUS DISEASE SERVICES LLC
12774 BOENKER LN
BRIDGETON, MO 630442436
3142917997
PAI PARTICIPANT 1 LLC
505 COUCH AVE
KIRKWOOD, MO 631225577
3148229911
GENERATION CLINICAL PARTNERS LLC
575 COUCH AVE
KIRKWOOD, MO 631225536
3149250903
PAI PARTICIPANT 1 LLC
575 COUCH AVE
KIRKWOOD, MO 631225536
3149096000
PAI PARTICIPANT 1 LLC
1650 HIGH ST
WASHINGTON, MO 630904365
6363903290
PAI PARTICIPANT 1 LLC
723 S LACLEDE STATION RD
WEBSTER GROVES, MO 631194911
3149685570
Source: CMS National Downloadable File, September 2026.