Individual
DR. DAVID J. KARDESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4055
Mailing address
1520 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3408
(636) 497-4055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4H13
MO
207RI0011X
Interventional Cardiology Physician
R4H13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203347638
—
MO
05
—
203347679
—
MO
Enumeration date
07/20/2005
Last updated
03/07/2022
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