Individual
DR. DEAN NOTHDURFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15846 MANCHESTER RD, ELLISVILLE, MO 63011-2208
(636) 527-6074
Mailing address
15846 MANCHESTER RD, ELLISVILLE, MO 63011-2208
(636) 527-6074
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010025981
MO
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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