Varicose Vein Center of St Louis, INC
NPI #1992996821 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1992996821
- Entity Type
- Organization
- Organization Name
- Varicose Vein Center of St Louis, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 6, 2007
- Last Updated
- Aug 6, 2007
Practice Location
- Address
- 12360 MANCHESTER RD
- Address 2
- STE 206
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63131-4312
- Phone
- (314) 966-6100
Authorized Official
- Name
- DR. MARK F BLUMENTHAL, MD
- Title
- PRESIDENT
- Phone
- (314) 966-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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