NPI 1205023405

St Louis Cosmetic Surgery

Organisation Plastic and Reconstructive Surgery Physician Chesterfield, MO

Practice location

Address: 17300 N Outer 40 Rd Suite 300, Chesterfield, MO 63005
Phone: (636) 530-6161
Fax: (636) 777-7500

Authorised official

Name: Beth Burton
Title: Practice Manager
Phone: (636) 530-6161

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 13172549 (MO)

Other Surgery providers in Missouri →

Registry record

NPI: 1205023405
Entity type: Organization
NPI issued: 2 Oct 2007
Record last updated: 2 Oct 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.