Organization
PLASTIC SURGERY INTERNATIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELEN TADJALLI M.D. (OWNER)
(314) 878-2278
Entity
Organization
Contact information
Practice address
969 N MASON RD, SUITE 100, SAINT LOUIS, MO 63141-6338
(314) 878-2278
(314) 878-2311
Mailing address
969 N MASON RD, SUITE 100, SAINT LOUIS, MO 63141-6338
(314) 878-2278
(314) 878-2311
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
116731
MO
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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