Individual
ALEXANDER BEYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
(314) 849-1003
(314) 455-3469
Mailing address
10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
(314) 849-1003
(314) 455-3469
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
111213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131256
BLUE CROSS
MO
05
—
204831218
—
MO
01
—
40483
GHP
MO
01
—
428781
HEALTHLINK
MO
01
—
7721102
AETNA
MO
Enumeration date
08/18/2006
Last updated
06/09/2024
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