West County Plastic & Reconstructive Surgery, Inc.
NPI #1386951028 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1386951028
- Entity Type
- Organization
- Organization Name
- West County Plastic & Reconstructive Surgery, Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 1, 2010
- Last Updated
- Sep 1, 2010
Practice Location
- Address
- 222 S WOODS MILL RD
- Address 2
- SUITE 700 NORTH
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-3625
- Phone
- (314) 878-7770
Authorized Official
- Name
- DR. CHARLES DAVID ETTELSON, M.D.
- Title
- PRESIDENT/OWNER
- Phone
- (314) 878-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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