Individual
DR. KURTIS TODD SOBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1465 S GRAND BLVD, ST. LOUIS, MO 63104-1003
(314) 268-6439
(314) 268-2798
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-6439
(314) 268-2798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011025418
MO
2080P0214X
Pediatric Pulmonology Physician
Primary
2011025418
MO
Other
Enumeration date
07/13/2007
Last updated
01/12/2021
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