Provider Demographics
NPI:1679560015
Name:RICHARD O. FOLLWELL, P.C.
Entity type:Organization
Organization Name:RICHARD O. FOLLWELL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LAPOINTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-332-6606
Mailing Address - Street 1:600 MEDICAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3426
Mailing Address - Country:US
Mailing Address - Phone:636-332-6606
Mailing Address - Fax:636-639-5048
Practice Address - Street 1:600 MEDICAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3426
Practice Address - Country:US
Practice Address - Phone:636-332-6606
Practice Address - Fax:636-639-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty