Organization
PLASTIC SURGERY CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS V. OLIVIER MD (OWNER)
(314) 997-8828
Entity
Organization
Contact information
Practice address
505 COUCH AVE, SUITE 360, KIRKWOOD, MO 63122-5568
(314) 821-8855
(314) 965-1296
Mailing address
11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO 63141-7029
(314) 997-8828
(314) 432-5105
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2001004855
MO
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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