NPI 1184710709 · live from the CMS NPI Registry
Aesthetic And Hand Surgery
Plastic Surgery, Surgery of the Hand in St. Louis, MO. National Provider Identifier 1184710709, active.
NPI record
| NPI | 1184710709 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Plastic Surgery, Surgery of the Hand 2082S0105X |
| Practice location | 333 S. Kirkwood Rd., Suite 203, St. Louis, MO 63122 |
| Practice phone | 314-984-8331 |
| Mailing address | 333 S Kirkwood Rd, Suite 203, Saint Louis, MO 63122 |
| Enumerated | October 4, 2006 |
| Last updated | October 15, 2008 |
| Authorized official | Michele Koo, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 2002007887 (MO) |
| Plastic Surgery, Surgery of the Hand primary | 2082S0105X | 102697 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.