Individual
DR. WARREN ISAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL STE 8B, STE 8B, SAINT LOUIS, MO 63110-1032
(314) 454-8917
(314) 454-2200
Mailing address
660 S EUCLID AVE, C B 8052, SAINT LOUIS, MO 63110-1010
(314) 454-8917
(314) 454-2200
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2003022301
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207224007
—
MO
05
—
ENROLLED
—
IL
Enumeration date
02/09/2006
Last updated
01/24/2018
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