NPI 1073676755

Parkcrest Plastic Surgery, INC.

Organisation Plastic and Reconstructive Surgery Physician Saint Louis, MO

Practice location

Address: 845 N. New Ballas Court Suite 300, Saint Louis, MO 63141-7083
Phone: (314) 569-9413
Fax: (314) 569-3674

Authorised official

Name: Deborah Sue Williams
Title: Office Manager
Phone: (314) 569-9413

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

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Registry record

NPI: 1073676755
Entity type: Organization
NPI issued: 18 Dec 2006
Record last updated: 3 Mar 2008

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.