Individual
DR. KONRAD JOSPEH DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
650 MARYVILLE UNIVERSITY DR, SAINT LOUIS, MO 63141-5849
(314) 529-9698
Mailing address
743 TRAGO CREEK DR, BALLWIN, MO 63021-4405
(314) 529-9698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004030332
MO
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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