| Organization Name: | MID-COUNTY PHYSICIANS, INC. |
| NPI Number: | 1184764904 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID L OHLMS (PRESIDENT) |
| Mailing Address: | 12166 Old Big Bend Rd Suite 100 Kirkwood |
| State: | MO US |
| Postal Code: | 631226844 |
| Phone Number: | 3149090211 |
| Fax Number: | 3149090323 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |