Individual
DR. MATTHEW TREASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 S EUCLID AVE, CAMPUS BOX 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9177
(314) 362-0478
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8072, SAINT LOUIS, MO 63110-1010
(314) 362-9177
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009036610
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447456215
—
MO
Enumeration date
06/26/2007
Last updated
07/06/2010
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