Individual
DR. ERIC D LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N. NEW BALLAS, SUITE 265, SAINT LOUIS, MO 63141-2330
(314) 991-4644
(314) 991-4910
Mailing address
555 N. NEW BALLAS, SUITE 265, SAINT LOUIS, MO 63141-2330
(314) 991-4644
(314) 991-4910
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
114589
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507396109
—
MO
Enumeration date
06/27/2006
Last updated
06/30/2010
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