Varicose Vein Center Of St Louis, Inc in Saint Louis - Specialist

Varicose Vein Center Of St Louis, Inc - NPI 1992996821

Varicose Vein Center Of St Louis, Inc is a Specialist in Saint Louis, Missouri. Varicose Vein Center Of St Louis, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Varicose Vein Center Of St Louis, Inc is 1992996821. The last update date is 2007-08-06.

Varicose Vein Center Of St Louis, Inc's current location address is 12360 Manchester Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149666100 and fax number 3149668148. The mailing address for Varicose Vein Center Of St Louis, Inc is 12360 Manchester Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Varicose Vein Center Of St Louis, Inc
Address 12360 Manchester Rd, Saint Louis, Missouri
Phone Number 3149666100
Fax Number 3149668148
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Blumenthal F Mark
Credentials MD
Telephone Number 3149666100

NPI Number Detail

NPI Number 1992996821
Provider Enumeration Date 2007-08-06
Last Updated Date 2007-08-06

Provider Mailing Address Detail

Address 12360 Manchester Rd
City Saint Louis
State Missouri (MO)
Post Code 631314312
Phone Number 3149666100
Fax Number 3149668148

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No R7718
Definition:
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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FAQs about Varicose Vein Center Of St Louis, Inc

What is the unique identification code assigned to Varicose Vein Center Of St Louis, Inc by the Centers for Medicare & Medicaid Services?

The Varicose Vein Center Of St Louis, Inc has been issued the NPI (National Provider Identifier) 1992996821. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Varicose Vein Center Of St Louis, Inc?

The Varicose Vein Center Of St Louis, Inc is situated at 12360 Manchester Rd, in the city of Saint Louis, state of MO, with the zip code 631314312.

What is Varicose Vein Center Of St Louis, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Varicose Vein Center Of St Louis, Inc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When was the Varicose Vein Center Of St Louis, Inc's 1992996821 issued?

The Varicose Vein Center Of St Louis, Inc's 1992996821 was issued on 2007-08-06.

As of what date were the details pertaining to Varicose Vein Center Of St Louis, Inc last refreshed?

The information related to the Varicose Vein Center Of St Louis, Inc, including its address, specialty, and other relevant details, was last updated on 2007-08-06.

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