Individual provider · Type 1 NPI
Esat I. Memisoglu, MD
Body Imaging Physician · St. Louis, MO
NPI number
1396765749
Active
Practice location
3635 Vista
St. Louis, MO 63110
Fax (314) 268-5116
Mailing address
3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | 2001007775 (MO) |
| Diagnostic Radiology Physician | 2085R0202X | 2001007775 (MO) |
| Diagnostic Ultrasound Physician | 2085U0001X | 2001007775 (MO) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1396765749
Esat I. Memisoglu, MD's National Provider Identifier is 1396765749, issued on Jul 20, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in St. Louis, MO. The record was last updated on Jan 9, 2008.