OrganizationActive
Digestive Disease Medical Consultants, PC
NPI 1407960107 · Gastroenterology Physician · Lake St Louis, MO
Provider details
- NPI number
- 1407960107
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Cort, Vice-President(636) 561-9020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Brevco Plz
Suite 208
Lake St Louis, MO 63367-2949
Phone: (636) 561-9020
Fax: (636) 561-6208
Approximate (ZIP-level) locationGet directions
Mailing address
200 Brevco Plz
Lake St Louis, MO 63367-2949
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2011-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.