Organization · Type 2 NPI

Modern Vascular of ST Louis LLC

Vascular & Interventional Radiology Physician · Creve Coeur, MO

NPI number 1972106391 Active

Practice location

641 N New Ballas Rd
Creve Coeur, MO 63141-6713

Fax (314) 899-2715

Mailing address

26500 Agoura Rd Ste 102-587
Calabasas, CA 91302-1952

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed
Vascular-Interventional Technology Radiologic Technologist 2471V0106XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1972106391

Modern Vascular of ST Louis LLC's National Provider Identifier is 1972106391, issued on Nov 18, 2020. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Creve Coeur, MO. The record was last updated on Nov 18, 2020.