NPI 1104899459

St Louis University

Organisation Diagnostic Radiology Physician Saint Louis, MO

Practice location

Address: 1225 S Grand Blvd, Saint Louis, MO 63104-1016
Phone: (314) 257-2170
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 (4)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Missouri →

Body Imaging Physician

Allopathic & Osteopathic Physicians Taxonomy 2085B0100X

Neuroradiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0700X

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Registry record

NPI: 1104899459
Entity type: Organization
NPI issued: 8 Feb 2006
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.