Individual
DR. OM P BAHL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10012 KENNERLY RD, STE 300, SAINT LOUIS, MO 63128-2197
(314) 842-0602
(314) 842-4372
Mailing address
11475 OLDE CABIN RD, STE 200, SAINT LOUIS, MO 63141-7128
(314) 997-8707
(314) 997-3248
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD33048
MO
Other
Enumeration date
06/23/2005
Last updated
07/09/2007
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