Organization
STL PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN VITSKY MD (MANAGING PARTNER)
(314) 205-6202
Entity
Organization
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6202
Mailing address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/31/2007
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