Organization
JORDAN BALTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN BALTER D.O. (PRESIDENT)
(314) 422-3617
Entity
Organization
Contact information
Practice address
6220 S LINDBERGH BLVD, STE 203, SAINT LOUIS, MO 63123-7839
(314) 422-3617
Mailing address
6220 S LINDBERGH BLVD, STE 203, SAINT LOUIS, MO 63123-7839
(314) 422-3617
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
11/19/2013
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