Organization
RENAISSANCE PLASTIC SURGERY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T BOSCHERT MD (PHYSICIAN)
(636) 896-0600
Entity
Organization
Contact information
Practice address
145 ST PETERS CENTRE BLVD, ST PETERS, MO 63376-5103
(636) 896-0600
(636) 723-2000
Mailing address
145 ST PETERS CENTRE BLVD, ST PETERS, MO 63376-5103
(636) 896-0600
(636) 723-2000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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