Individual
ERIC EXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-4156
Mailing address
660 S. EUCLID AVE, CAMPUS BOX 8072, ST. LOUIS, MO 63110
(314) 747-4156
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021021776
MISSOURI BOARD OF REGISTRATION FOR THE HEALING ARTS
MO
Enumeration date
03/23/2020
Last updated
06/25/2021
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