Mark D Packer in St Louis - Specialist

Mark D Packer - NPI 1760470686

Mark D Packer is a Specialist in St Louis, Missouri. Mark D Packer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark D Packer is 1760470686. The last update date is 2017-07-27.

Mark D Packer's current location address is 607 S New Ballas Rd, St Louis, Missouri. You can contact this provider via phone number 3142516394 and fax number 3142514235. The mailing address for Mark D Packer is 607 S New Ballas Rd, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark D Packer
Address 607 S New Ballas Rd, St Louis, Missouri
Phone Number 3142516394
Fax Number 3142514235
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1760470686
Provider Enumeration Date 2005-10-13
Last Updated Date 2017-07-27

Provider Mailing Address Detail

Address 607 S New Ballas Rd
City St Louis
State Missouri (MO)
Post Code 631418234
Phone Number 3142516394
Fax Number 3142514235

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 2016009560
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 Mark D Packer

What is the unique provider identifier assigned to Mark D Packer?

The Mark D Packer has been issued the NPI (National Provider Identifier) 1760470686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mark D Packer's facilities are geographically located?

The facilities of Mark D Packer are physically situated at the following location: 607 S New Ballas Rd, St Louis, MO, 631418234.

What is Mark D Packer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark D Packer's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Mark D Packer's 1760470686 issued?

The Mark D Packer's 1760470686 was issued on 2005-10-13.

When was the information regarding Mark D Packer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark D Packer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-07-27.

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