208100000X
St Louis, MO
Specialty
208100000X
Credential
MD
NPI
1932195443
12855 North Forty Dr, St Louis, MO 63141
(314) 594-8230Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X