Organization · Type 2 NPI
Parkcrest Plastic Surgery, Inc.
Plastic and Reconstructive Surgery Physician · St. Louis, MO
NPI number
1073676755
Active
Practice location
845 N. New Ballas Court, Suite 300
St. Louis, MO 63141-7083
Fax (314) 569-3674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1073676755
Parkcrest Plastic Surgery, Inc.'s National Provider Identifier is 1073676755, issued on Dec 18, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in St. Louis, MO. The record was last updated on Mar 3, 2008.