Organization
VARICOSE VEIN CENTER OF ST LOUIS, INC
Active
Other names
The Vein Center & CosMed
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F BLUMENTHAL MD (PRESIDENT)
(314) 966-6100
Entity
Organization
Contact information
Practice address
12360 MANCHESTER RD, STE 206, SAINT LOUIS, MO 63131-4312
(314) 966-6100
(314) 966-8148
Mailing address
12360 MANCHESTER RD, STE 206, SAINT LOUIS, MO 63131-4312
(314) 966-6100
(314) 966-8148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R7718
MO
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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