C.j. Deleste, Inc.

NPI #1396864864 in Festus, Missouri

Provider Information

NPI Number: 1396864864
Entity Type: Organization
Organization Name: C.j. Deleste, Inc.
Primary Specialty: Urology
Enumeration Date: Mar 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1073 AIRPORT RD
City: Festus
State: Missouri
ZIP Code: 63028-4103
Phone: (636) 937-8118

Authorized Official

Name: ROXANNE GIBSON
Title: SECRETARY
Phone: (636) 937-8118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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