Organization
WEST COUNTY PLASTIC & RECONSTRUCTIVE SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID ETTELSON M.D. (PRESIDENT/OWNER)
(314) 878-7770
Entity
Organization
Contact information
Practice address
222 S WOODS MILL RD, SUITE 700 NORTH, CHESTERFIELD, MO 63017-3625
(314) 878-7770
(314) 878-2746
Mailing address
222 S WOODS MILL RD, SUITE 700 NORTH, CHESTERFIELD, MO 63017-3625
(314) 878-7770
(314) 878-2746
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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