Individual
DR. HARVEY SEROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11155 DUNN RD, STE 304E, SAINT LOUIS, MO 63136-6150
(314) 741-0911
(314) 741-0501
Mailing address
11155 DUNN RD, STE 304E, SAINT LOUIS, MO 63136-6150
(314) 741-0911
(314) 741-0501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036083899
IL
207RC0000X
Cardiovascular Disease Physician
R6E45
MO
207RI0011X
Interventional Cardiology Physician
036083899
IL
207RI0011X
Interventional Cardiology Physician
Primary
R6E45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202546420
—
MO
Enumeration date
07/27/2006
Last updated
01/04/2023
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