Individual provider · Type 1 NPI

Mark Frederick Blumenthal, MD

Specialist · St. Louis, MO

NPI number 1659402238 Active

Practice location

12878 Manchester Rd, Suite C
St. Louis, MO 63131-1803

Call (314) 966-6100 Map

Mailing address

12878 Manchester Rd # C
St. Louis, MO 63131-1803

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XR7718 (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 1659402238

Mark Frederick Blumenthal, MD's National Provider Identifier is 1659402238, issued on Mar 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 31, 2016.