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PARKCREST PLASTIC SURGERY NPI 1487758678


NPI Information

NPI: 1487758678
Provider Name: PARKCREST PLASTIC SURGERY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
845 NORTH NEW BALLAS CT.
SUITE 300
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 569-0130
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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 1487758678. 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 CT.
SUITE 300
SAINT LOUIS, MO
ZIP 63141-083
Phone: (314) 569-0130
Fax: (314) 569-4072

The provider's authorized official is David A. Caplin .
The authorized official title is Plastic Surgeon and has the following contact phone number (314) 569-0130.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistR6776MISSOURIYes

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: 4/28/2024

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