# AESTHETIC AND HAND SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184710709
- **Authorized official:** DR. MICHELE D. KOO M.D. (OWNER)
- **Authorized official phone:** (314) 984-8331

## Contact information

- **Practice address:** 333 S. KIRKWOOD RD., SUITE 203, ST. LOUIS, MO 63122
- **Practice address phone:** (314) 984-8331
- **Practice address fax:** (314) 821-8377
- **Mailing address:** 333 S KIRKWOOD RD, SUITE 203, SAINT LOUIS, MO 63122-6161
- **Mailing address phone:** (314) 984-8331
- **Mailing address fax:** (314) 821-8377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 2002007887 | MO | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 102697 | MO | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 10/15/2008