W David Kistler Jr MD LLC
NPI #1013305804 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1013305804
- Entity Type
- Organization
- Organization Name
- W David Kistler Jr MD LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 31, 2014
- Last Updated
- May 11, 2015
Practice Location
- Address
- 950 FRANCIS PL
- Address 2
- STE 113
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63105-2465
- Phone
- (314) 721-0411
Authorized Official
- Name
- MARILYN H KISTLER
- Title
- OFFICE MANAGER
- Phone
- (314) 721-0411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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