OrganizationActive
Crestview Medical Associates, LLC
NPI 1750351581 · Internal Medicine Physician · Lake St Louis, MO
Provider details
- NPI number
- 1750351581
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Vatterott, Owner(636) 561-8100
- License
- 207R0000X (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
107 Brevco Plz
Lake St Louis, MO 63367-1399
Phone: (636) 561-8100
Fax: (636) 561-3396
Approximate (ZIP-level) locationGet directions
Mailing address
107 Brevco Plz
Lake St Louis, MO 63367-1399
Registry dates
- Enumerated
- 2006-01-24
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.