Organization
IGNITE PERFORMANCE AND HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HARSHMAN MD (MEDICAL DIRECTOR)
(240) 344-3381
Entity
Organization
Contact information
Practice address
14830 CLAYTON RD, CHESTERFIELD, MO 63017-7882
(240) 344-3381
Mailing address
14830 CLAYTON RD, CHESTERFIELD, MO 63017-7882
(240) 344-3381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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