OrganizationActive
Altea Medical Missouri LLC
NPI 1649032608 · Geriatric Medicine (Internal Medicine) Physician · Wildwood, MO
Provider details
- NPI number
- 1649032608
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Krueger, Vp of Revenue Cycle and Contracting(888) 408-7008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1441 Charic Dr
Wildwood, MO 63021-2001
Phone: (888) 408-7008
Approximate (ZIP-level) locationGet directions
Mailing address
400 E Rivulon Blvd Ste 103
Gilbert, AZ 85297-0096
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.