Individual
VINCENT SOLLECITO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3915 WATSON RD, 200, SAINT LOUIS, MO 63109-1251
(314) 352-2711
(314) 644-5081
Mailing address
3915 WATSON RD, 200, SAINT LOUIS, MO 63109-1251
(314) 352-2711
(314) 644-5081
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00449
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141657070
TAX ID
MO
05
—
302805007
—
MO
Enumeration date
04/21/2006
Last updated
07/07/2008
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