DR. Michael David Impey, D.O.

NPI #1508926304 in St. Louis, Missouri

Provider Information

NPI Number: 1508926304
Entity Type: Individual
Name: DR. Michael David Impey, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: D.O.
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2355 DOUGHERTY FERRY ROAD
Address 2: SUITE 408
City: St. Louis
State: Missouri
ZIP Code: 63122
Phone: (314) 821-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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