ST LOUIS COSMETIC SURGERY NPI 1205023405

NPI Information

  • NPI: 1205023405
  • Provider Name: ST LOUIS COSMETIC SURGERY
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 17300 N OUTER 40 RD
    SUITE 300
    CHESTERFIELD, MO
    ZIP 63005
  • Phone: (636) 530-6161

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NPI Details

ST LOUIS COSMETIC SURGERY is a plastic and reconstructive surgery surgery in Chesterfield, MO. The provider is a surgeon who specializes in plastic and reconstructive surgery. ST LOUIS COSMETIC SURGERY NPI is 1205023405. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17300 N OUTER 40 RD
SUITE 300
CHESTERFIELD, MO
ZIP 63005
Phone: (636) 530-6161
Fax: (636) 777-7500

The provider's authorized official is Beth Burton .
The authorized official title is Practice Manager and has the following contact phone number (636) 530-6161.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/2/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery13172549MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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