Individual
DR. RICHARD L KOFKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16216 BAXTER RD, SUITE 250, CHESTERFIELD, MO 63017-4770
(636) 532-1717
(636) 532-5782
Mailing address
16216 BAXTER RD, SUITE 250, CHESTERFIELD, MO 63017-4770
(636) 532-1717
(636) 532-5782
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R6G32
MO
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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