Renaissance Plastic Surgery Assoc INC

NPI #1386675874 in St Peters, Missouri

Provider Information

NPI Number: 1386675874
Entity Type: Organization
Organization Name: Renaissance Plastic Surgery Assoc INC
Primary Specialty: Plastic Surgery
Enumeration Date: Jul 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 145 ST PETERS CENTRE BLVD
City: St Peters
State: Missouri
ZIP Code: 63376-5103
Phone: (636) 896-0600

Authorized Official

Name: MARK T BOSCHERT, MD
Title: PHYSICIAN
Phone: (636) 896-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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