Individual
CORDIE C COORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S WOODS MILL RD, SUITE 550-N, CHESTERFIELD, MO 63017-3625
(314) 434-3049
(314) 205-6916
Mailing address
222 S WOODS MILL RD, SUITE 550-N, CHESTERFIELD, MO 63017-3625
(314) 434-3049
(314) 205-6916
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R4B60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202049409
—
MO
01
—
P00356605
RR MEDICARE
MO
Enumeration date
07/18/2005
Last updated
12/01/2015
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