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AESTHETIC AND HAND SURGERY NPI 1184710709


NPI Information

NPI: 1184710709
Provider Name: AESTHETIC AND HAND SURGERY
Classification: Plastic Surgery - 2082S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
333 S. KIRKWOOD RD.
SUITE 203
ST. LOUIS, MO
ZIP 63122
Phone: (314) 984-8331
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AESTHETIC AND HAND SURGERY is a surgery of the hand plastic surgery in St. Louis, MO. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. AESTHETIC AND HAND SURGERY NPI is 1184710709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

333 S. KIRKWOOD RD.
SUITE 203
ST. LOUIS, MO
ZIP 63122
Phone: (314) 984-8331
Fax: (314) 821-8377

The provider's authorized official is Michele D. Koo .
The authorized official title is Owner and has the following contact phone number (314) 984-8331.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery2002007887MISSOURINo
22082S0105XPlastic SurgerySurgery of the Hand102697MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000012252MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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