Individual
RONALD PIONTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3844 S LINDBERGH BLVD, STE 120, SAINT LOUIS, MO 63127-1368
(314) 525-0490
(314) 525-0434
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 525-0490
(314) 525-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041-268951
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
066852
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425074903
—
MO
Enumeration date
08/31/2006
Last updated
04/11/2017
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