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Individual

DR. SEIICHI NODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10012 KENNERLY RD, SUITE 403, SAINT LOUIS, MO 63128-2197
(314) 880-6676
(314) 842-4372
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-3455
(321) 434-3456

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
200146129
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME150578
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110410800
FL
05
1881690931
MO
01
NV584
FL MEDICARE
FL
Enumeration date
06/23/2005
Last updated
06/21/2021
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