Individual
BEN HEIMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 S COMPTON AVE, SAINT LOUIS, MO 63103-2001
(314) 977-7018
Mailing address
1 S COMPTON AVE, SAINT LOUIS, MO 63103-2001
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2017007317
MO
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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