Individual
KRISTOPHER SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 747-3000
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2022007193
MO
Other
Enumeration date
03/28/2018
Last updated
07/19/2022
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