Individual
MATTHEW A PIEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008011543
MO
2086S0102X
Surgical Critical Care Physician
2008011543
MO
2086S0127X
Trauma Surgery Physician
2008011543
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008011543
MISSOURI LICENSE
MO
Enumeration date
07/28/2008
Last updated
12/05/2023
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