Individual
MITCHELL B CORDOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5757
(314) 996-5445
Mailing address
14616 ADGERS WHARF DR, CHESTERFIELD, MO 63017-5606
(314) 614-0484
(636) 537-0228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R3M65
MO
Other
Enumeration date
11/14/2006
Last updated
07/09/2007
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