PARKCREST PLASTIC SURGERY NPI 1396849451

NPI Information

PARKCREST PLASTIC SURGERY is a specialist in Saint Louis, MO. The provider is 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. PARKCREST PLASTIC SURGERY NPI is 1396849451. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

845 NORTH NEW BALLAS ROAD
SUITE 300
SAINT LOUIS, MO
ZIP 63141-083
Phone: (314) 569-0130
Fax: (314) 569-4072

The provider's authorized official is Charles R. Nathan .
The authorized official title is Plastic Surgeon and has the following contact phone number (314) 569-1030.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 2/29/2008.

Taxonomy Codes

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Other Identifiers

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