NPI 1043493224

Midwest Vascular and Endovascular Surgery PC

Organisation Vascular Surgery Physician Saint Louis, MO

Practice location

Address: 1031 Bellevue Ave Suite 349, Saint Louis, MO 63117-1818
Phone: (314) 644-2202
Fax: (314) 644-3155

Authorised official

Name: Angela R Chamberlin
Title: Manager
Phone: (314) 644-2202

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 108988 (MO)

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Registry record

NPI: 1043493224
Entity type: Organization
NPI issued: 11 Dec 2007
Record last updated: 11 Dec 2007

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.