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Contact Information

ALTEA MEDICAL MISSOURI LLC
1441 CHARIC DR
WILDWOOD, MO63021-2001
 Phone: 888-408-7008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ALTEA MEDICAL MISSOURI LLC

NPI Number 1649032608
LBN Legal business name ALTEA MEDICAL MISSOURI LLC
Authorized official LISA KRUEGER - (VP OF REVENUE CYCLE AND CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2024
Last updated 11/17/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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