Individual
NEIL ALAN BOBENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MHA
Contact information
Practice address
969 N MASON RD STE 145A, SAINT LOUIS, MO 63141-6282
(314) 996-3432
(314) 996-3435
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023015006
MO
390200000X
Student in an Organized Health Care Education/Training Program
2023015006
MO
Other
Enumeration date
06/25/2020
Last updated
09/19/2025
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