NPI 1003502527

Connor Robert Reis, DO

Practitioner Internal Medicine Physician Saint Louis, MO

Practice location

Address: 615 S New Ballas Rd, Saint Louis, MO 63141-8221
Phone: (314) 251-6930
Mailing address: 621 S New Ballas Rd STE 3019b, Saint Louis, MO 63141-8267

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 2023023726 (MO)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003502527
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2023
Record last updated: 29 Jun 2023

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.