Individual provider · Type 1 NPI

Phillip Erwin Korenblat, MD

Specialist · St. Louis, MO

NPI number 1063555860 Active

Practice location

1040 N Mason Rd, Suite 112
St. Louis, MO 63141-6399

Call (314) 514-8509 Map

Fax (314) 542-0109

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063555860

Phillip Erwin Korenblat, MD's National Provider Identifier is 1063555860, issued on Feb 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 22, 2016.