Individual
THEODORE HARPER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-2000
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(404) 735-4188
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036156229
IL
207P00000X
Emergency Medicine Physician
Primary
2026012077
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2018
Last updated
05/08/2026
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