Organization · Type 2 NPI

Maranatha Healthcare PC

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · St. Louis, MO

NPI number 1679896716 Active

Practice location

9231 W Florissant Ave
St. Louis, MO 63136-1422

Call (314) 522-1888 Map

Fax (314) 522-9674

Mailing address

PO Box 3980
Chesterfield, MO 63006-3980

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XR7F89 (MO)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XR7F89 (MO)
Pain Medicine Physician 208VP0000XR7F89 (MO)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1679896716

Maranatha Healthcare PC's National Provider Identifier is 1679896716, issued on Mar 3, 2010. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in St. Louis, MO. The record was last updated on May 17, 2010.