Individual
DR. MARK L BLUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 S NEW BALLAS RD, SUITE R-7040, SAINT LOUIS, MO 63141-8232
(314) 251-6970
(314) 251-5756
Mailing address
625 S NEW BALLAS RD, SUITE R-7040, SAINT LOUIS, MO 63141-8232
(314) 251-6970
(314) 251-5756
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2003024387
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209253400
—
MO
Enumeration date
02/01/2006
Last updated
05/12/2011
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