Individual
MR. PHILIP O ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 S GRAND BLVD, M268, SAINT LOUIS, MO 63104-1004
(314) 977-9801
(314) 977-9899
Mailing address
1402 S GRAND BLVD, M268, SAINT LOUIS, MO 63104-1004
(314) 977-9801
(314) 977-9899
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
142692-1
NY
2085N0904X
Nuclear Radiology Physician
32695
MO
2085R0202X
Diagnostic Radiology Physician
Primary
142692-1
NY
Other
Enumeration date
06/21/2006
Last updated
08/06/2008
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