Dominic Bisesi, DO is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Dominic Bisesi, DO NPI is 1114505005. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 268-4070
Fax: (314) 268-4019
The NPI 1114505005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/31/2021 and was last updated on 4/20/2021.