Organization
PARKCREST PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R. NATHAN M.D. (PLASTIC SURGEON)
(314) 569-1030
Entity
Organization
Contact information
Practice address
845 NORTH NEW BALLAS ROAD, SUITE 300, SAINT LOUIS, MO 63141-7083
(314) 569-0130
(314) 569-4072
Mailing address
845 NORTH NEW BALLAS ROAD, SUITE 300, SAINT LOUIS, MO 63141-7083
(314) 569-0130
(314) 569-4072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MO
Other
Enumeration date
09/11/2006
Last updated
02/29/2008
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