NPI 1578718375

Plastic Surgery Concepts, PC

Organisation Plastic Surgery Physician Saint Louis, MO

Practice location

Address: 10004 Kennerly Rd Suite 137a, Saint Louis, MO 63128-2141
Phone: (314) 997-8828
Fax: (314) 432-5105
Mailing address: 11709 Old Ballas Rd Suite 201, Creve Coeur, MO 63141-7029

Authorised official

Name: Thomas V. Olivier
Title: Owner
Phone: (314) 997-8828

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 2001004855 (MO)

Other Plastic Surgery providers in Missouri →

Registry record

NPI: 1578718375
Entity type: Organization
NPI issued: 20 Nov 2008
Record last updated: 20 Nov 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.