Organization · Type 2 NPI

Parkcrest Plastic Surgery

Specialist · St. Louis, MO

NPI number 1487758678 Active

Practice location

845 North New Ballas Ct., Suite 300
St. Louis, MO 63141-7083

Call (314) 569-0130 Map

Fax (314) 569-4072

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR6776 (MO)

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 1487758678

Parkcrest Plastic Surgery's National Provider Identifier is 1487758678, issued on Sep 11, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.