Organization
ST LOUIS COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH BURTON (PRACTICE MANAGER)
(636) 530-6161
Entity
Organization
Contact information
Practice address
17300 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63005
(636) 530-6161
(636) 777-7500
Mailing address
17300 N OUTER 40 RD, SUITE 300, CHESTERFIELD, MO 63005
(636) 530-6161
(636) 777-7500
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
13172549
MO
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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