Individual provider · Type 1 NPI

Ida Keiko Fox, MD

Plastic and Reconstructive Surgery Physician · St. Louis, MO

NPI number 1629099031 Active

Practice location

4921 Parkview Pl, Div Surg Plastics, Ste 6G
St. Louis, MO 63110-1032

Call (314) 362-7388 Map

Fax (833) 301-0853

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Other practice locations

  • 915 N Grand Blvd, St. Louis, MO 63106-1621 · (314) 652-4100

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X2006009926 (MO)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1629099031

Ida Keiko Fox, MD's National Provider Identifier is 1629099031, issued on Jul 21, 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 Sep 30, 2025.