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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 31077 (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.