Individual
DR. ANDREW L. WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141
(142) 516-0313
(314) 251-6343
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 569-1787
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0447032
KS
2085R0202X
Diagnostic Radiology Physician
2015003759
MO
2085R0202X
Diagnostic Radiology Physician
40475
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2015003759
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200041908
—
MO
05
—
ENROLLED
—
IL
Enumeration date
08/07/2014
Last updated
11/20/2023
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