NPI 1023220910

St Louis University

Organisation Facial Plastic Surgery Physician St Louis, MO

Practice location

Address: 1225 South Grand Gl, Door 3, St Louis, MO 63104-6310
Phone: (314) 977-5119
Mailing address: 3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020

Authorised official

Name: Alyce Lanxon
Title: Executive Director
Phone: (314) 977-6828

Registered specialties

Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X

Other Otolaryngology providers in Missouri →

Registry record

NPI: 1023220910
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 21 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.