Organization
SHEEN VEIN INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDAL T SHEEN MD (PRESIDENT)
(314) 842-1441
Entity
Organization
Contact information
Practice address
11144 TESSON FERRY RD, SUITE 100, SAINT LOUIS, MO 63123-6965
(314) 842-1441
(314) 842-1402
Mailing address
11144 TESSON FERRY RD, SUITE 100, SAINT LOUIS, MO 63123-6965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108604
MO
Other
Enumeration date
09/08/2010
Last updated
09/28/2010
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