Organization · Type 2 NPI

St. Louis Thoracic and Vascular Inc

Specialist · St. Louis, MO

NPI number 1639204696 Active

Practice location

10004 Kennerly Rd Ste 186B
St. Louis, MO 63128-2176

Fax (314) 543-5954

Mailing address

10004 Kennerly Rd, Sutie 186B
St. Louis, MO 63128-2141

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X31077 (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 1639204696

St. Louis Thoracic and Vascular Inc's National Provider Identifier is 1639204696, issued on Feb 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on May 4, 2009.