Individual
DR. LOREN NATHAN BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141
(314) 251-6440
(314) 251-4456
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
(314) 251-4456
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
59069
MN
208600000X
Surgery Physician
Primary
2019029089
MO
208600000X
Surgery Physician
59069
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
05/30/2023
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