Individual
DR. PHILLIP ERWIN KORENBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 N MASON RD, SUITE 112, SAINT LOUIS, MO 63141-6399
(314) 514-8509
(314) 542-0109
Mailing address
1040 N MASON RD, SUITE 112, SAINT LOUIS, MO 63141-6399
(314) 514-8509
(314) 542-0109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
02/22/2016
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