HomeNPI Verification

NPI Verification

National Provider Identifier: 1720319239

Accident Injury Healthcare

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Chiropractor

Code: 111N00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

440 N 4TH ST # 295

SAINT LOUIS, MO 631022654

Phone: 314-703-4439

NPI Enumeration Date

January 22, 2010

NPI Number

1720319239

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry