Individual
IRWIN PLISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1224 GRAHAM RD, SUITE 2003, FLORISSANT, MO 63031-8028
(314) 839-4554
(314) 837-0047
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 839-4554
(314) 837-0047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24734
IA
207R00000X
Internal Medicine Physician
Primary
R8E05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010029
ESSENCE
MO
01
—
000000012461
ESSENCE ST CHARLES
MO
01
—
0400525
UHC
MO
01
—
102101
HEALTHLINK
MO
01
—
127484
GHP
MO
01
—
2267138
AETNA US
MO
01
—
4040631
AETNA
MO
01
—
6400
BCBS
MO
01
—
A10442
MERCY
MO
01
—
C04130
EXCLUSIVE CHOICE
MO
Enumeration date
11/09/2005
Last updated
12/08/2011
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