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Individual

DR. CRAIG K REISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017-3509
(314) 434-3278
(314) 590-5949
Mailing address
121 SAINT LUKES CENTER DR, STE 303, CHESTERFIELD, MO 63017-3509
(314) 434-3278
(314) 590-5949

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R6J34
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
249010183
MO
01
P01234911
MEDICARE RR
MO
Enumeration date
06/20/2006
Last updated
12/30/2013
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