Organization
ELLIOT L KORN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT KORN MD (MD OWNER)
(314) 567-1856
Entity
Organization
Contact information
Practice address
1715 DEER TRACKS TRL STE 130, SAINT LOUIS, MO 63131-1854
(314) 567-1856
(314) 527-2425
Mailing address
1715 DEER TRACKS TRL STE 130, SAINT LOUIS, MO 63131-1854
(314) 567-1856
(314) 527-2425
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507385300
—
MO
Enumeration date
04/11/2007
Last updated
03/23/2022
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