NPI 1306694005

Ian Robert McIntire, MSPOCPO

Practitioner Orthotist Saint Louis, MO

Practice location

Address: 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181
Phone: (314) 652-4100
Mailing address: 127 Madison Ave, Webster Groves, MO 63119-1603

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO04181 (MO)

Other Orthotist providers in Missouri →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO04181 (MO)

Other Prosthetist providers in Missouri →

Registry record

NPI: 1306694005
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2024
Record last updated: 8 May 2024

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.