Organization · Type 2 NPI

ST Louis University

Nuclear Cardiology Physician · St. Louis, MO

NPI number 1407069651 Active

Practice location

1034 S. Brentwood, Ste 1120
St. Louis, MO 63117

Call (314) 977-4663 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Other practice locations

3660 Vista Ave, St. Louis, MO 63110-2540 · (314) 977-6100

Specialties and licenses

Taxonomy	Code	License
Nuclear Cardiology Physician Primary	207UN0901X	None listed

Nuclear Cardiology Physician: A nuclear medicine physician who specializes in nuclear cardiology.

Another provider at this address

ST Louis UniversityCardiovascular Disease Physician St. Louis, MO NPI 1568688570

NPI record

NPI: 1407069651
Entity type: Organization (Type 2)
Issued: May 7, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

<unavail>
Slucare Dept of Nuclear Cardiology · doing business as
Slucare Dept of Nuclear Cardiology · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407069651

ST Louis University's National Provider Identifier is 1407069651, issued on May 7, 2007. The primary taxonomy on file is Nuclear Cardiology Physician (207UN0901X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.