Organization
MIDWEST VASCULAR & GENERAL SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO RAO MD (DELEGATED OFFICIAL)
(314) 993-9229
Entity
Organization
Contact information
Practice address
3023 N BALLAS RD, SUITE 210D, SAINT LOUIS, MO 63131-2330
(314) 993-9229
(314) 993-8398
Mailing address
3023 N BALLAS RD, SUITE 210D, SAINT LOUIS, MO 63131-2330
(314) 989-0300
(314) 569-7135
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
103467
MO
2086S0129X
Vascular Surgery Physician
R3J01
MO
Other
Enumeration date
01/27/2006
Last updated
11/27/2013
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